| NPI | 1356883078 |
|---|---|
| Doing Business As | JAX VOC REHAB |
| Entity Type | Organization |
| Authorized Contact | LEQUITA CHARMINE BROOKS Owner 904-701-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW12949) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2018-06-10 |