Organization · Type 2 NPI

New Heaven Dominion, Inc

Community/Behavioral Health Agency · Jacksonville, FL

NPI number 1265680805 Active

Practice location

9146 Ridge Brier Ln
Jacksonville, FL 32225-9325

Fax (904) 647-6653

Mailing address

12355 Finns Cove Trl
Jacksonville, FL 32246-4198

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X02084206 (FL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1265680805

New Heaven Dominion, Inc's National Provider Identifier is 1265680805, issued on Sep 8, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 12, 2008.