RENASCENCE BEHAVIORAL HEALTHCARE GROUP INC NPI 1386131092

NPI Information

NPI: 1386131092
Provider Name: RENASCENCE BEHAVIORAL HEALTHCARE GROUP, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8553 ARGYLE BUSINESS LOOP STE 1
JACKSONVILLE, FL
ZIP 32244
Phone: (904) 630-5169
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RENASCENCE BEHAVIORAL HEALTHCARE GROUP, INC is a mental health (including community mental health center) clinic center in Jacksonville, FL. RENASCENCE BEHAVIORAL HEALTHCARE GROUP, INC NPI is 1386131092. The provider is registered as an organization entity type.

The provider's business location address is:

8553 ARGYLE BUSINESS LOOP STE 1
JACKSONVILLE, FL
ZIP 32244-604
Phone: (904) 630-5169
Fax: (904) 645-8464

The provider's authorized official is Mary Sutherland .
The authorized official title is President and has the following contact phone number (904) 630-5169.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 4/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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