Organization · Type 2 NPI
Southern Sky Outpatient Detox, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Jacksonville, FL
NPI number
1386507119
Active
Practice location
8613 Old Kings Rd Bldg 1
Jacksonville, FL 32217-4825
Mailing address
227 Sandy Springs Pl # D-298
Sandy Springs, GA 30328-5918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1386507119
Southern Sky Outpatient Detox, LLC's National Provider Identifier is 1386507119, issued on Dec 8, 2025. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 30, 2026.