Organization · Type 2 NPI

Alicia Mitchell

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL

NPI number 1114331501 Active

Practice location

5583 Oak Crossing Ct
Jacksonville, FL 32244-8202

Call (904) 219-8551 Map

Mailing address

5583 Oak Crossing Court
Jacksonville, FL 32244

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1114331501

Alicia Mitchell's National Provider Identifier is 1114331501, issued on Jun 13, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 13, 2014.