Organization · Type 2 NPI
Eisenhower Jacksonville Group LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL
NPI number
1417494485
Active
Practice location
2671 Huffman Blvd
Jacksonville, FL 32246-4056
Fax (734) 677-0890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
3 other providers at this address
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About NPI 1417494485
Eisenhower Jacksonville Group LLC's National Provider Identifier is 1417494485, issued on Jan 27, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 28, 2021.