NPI Index

EISENHOWER JACKSONVILLE GROUP LLC

Clinic/Center - Mental Health (Including Community Mental Health Center)

Active Organization
NPI: 1417494485

Practice Address

2671 HUFFMAN BLVD
Jacksonville, FL 32246

Phone: (734) 677-0070

Specialties

Specialty Code Primary License
Physical Medicine & Rehabilitation - Brain Injury Medicine 2081P0301X No -
Case Management 251B00000X No -
Community/Behavioral Health 251S00000X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Residential Treatment Facility, Physical Disabilities 320700000X No -
Community Based Residential Treatment Facility, Mental Illness 320800000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Psychiatric Residential Treatment Facility 323P00000X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X Yes -

Frequently Asked Questions

NPI 1417494485 is the National Provider Identifier for EISENHOWER JACKSONVILLE GROUP LLC, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Jacksonville, FL. This NPI was enumerated on January 27, 2017.

Quick Facts

NPI
1417494485
Type
Organization
Enumerated
Jan 27, 2017
Last Updated
Sep 28, 2021

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