MS. Bridgett Denise Braxton

NPI #1255847778 in Jacksonville, Florida

Provider Information

NPI Number: 1255847778
Entity Type: Individual
Name: MS. Bridgett Denise Braxton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 20, 2017
Last Updated: Dec 20, 2017

Practice Location

Address: 6124 GOODMAN RD
City: Jacksonville
State: Florida
ZIP Code: 32244-1933
Phone: (901) 338-9821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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