Jacksonville Youth Sanctuary
NPI #1104054030 in Jacksonville, Florida
Provider Information
- NPI Number
- 1104054030
- Entity Type
- Organization
- Organization Name
- Jacksonville Youth Sanctuary
- Primary Specialty
- Social Worker
- Enumeration Date
- Jun 30, 2009
- Last Updated
- Jul 7, 2009
Practice Location
- Address
- 4570 SAINT JOHNS AVE
- Address 2
- SUITE 3
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32210-1848
- Phone
- (904) 389-5231
Authorized Official
- Name
- MISS DANIELLE MARIE BURNS, BA
- Title
- TARGETED CASE MANAGER
- Phone
- (904) 993-7955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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