Community Rehabilitation Center INC
NPI #1528165909 in Jacksonville, Florida
Provider Information
- NPI Number
- 1528165909
- Entity Type
- Organization
- Organization Name
- Community Rehabilitation Center INC
- Primary Specialty
- Point of Service
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 20, 2007
Practice Location
- Address
- 623 BEECHWOOD STRRET
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32206
- Phone
- (904) 358-1211
Authorized Official
- Name
- MR. JIMMIE P. HICKS I, MA
- Title
- CLINICAL DIRECTOR
- Phone
- (904) 358-1211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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