Src
Src is a Community/Behavioral Health Agency in Jacksonville, Florida. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
580 Ellis Rd SJacksonville, FL 32254-3582
Phone: (678) 886-3984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1841686433 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanya Lake-Smith — Mental Health Counselor · (678) 886-3984 |
| NPI enumerated | April 9, 2015 |
| Last updated in NPPES | April 9, 2015 |
| Mailing address | 11993 Alexandra Dr, Jacksonville, FL 32218-8880 |
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