SRC

JACKSONVILLE, FL
NPI1841686433
Entity TypeOrganization
Authorized ContactTANYA LAKE-SMITH
Mental Health Counselor
678-886-3984
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2015-04-09
Last Update Date2015-04-09
Business Address
SRC
580 ELLIS RD S
JACKSONVILLE, FL 32254-3582
Phone number: 678-886-3984
Mailing Address
SRC
11993 ALEXANDRA DR
JACKSONVILLE, FL 32218-8880
Phone number: 678-886-3984
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