Individual provider · Type 1 NPI

Bridgett Denise Braxton

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

NPI number 1255847778 Active

Practice location

6124 Goodman Rd
Jacksonville, FL 32244-1933

Call (901) 338-9821 Map

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 1255847778

Bridgett Denise Braxton's National Provider Identifier is 1255847778, issued on Dec 20, 2017. 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 Dec 20, 2017.