Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Sky Outpatient Detox, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1386507119

Southern Sky Outpatient Detox, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8613 Old Kings Rd Bldg 1
Jacksonville, FL 32217-4825
Phone: (770) 659-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1386507119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Clay — Managing Member · (404) 229-7743
Other names Jacksonville Outpatient Detox, Llc
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address227 Sandy Springs Pl # D-298, Sandy Springs, GA 30328-5918

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