TEN BROECK JACKSONVILLE LLC NPI 1497758312

NPI Information

TEN BROECK JACKSONVILLE LLC is a psychiatric hospital in Jacksonville, FL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. TEN BROECK JACKSONVILLE LLC NPI is 1497758312. The provider is registered as an organization entity type.

The provider's business location address is:

6300 BEACH BLVD
JACKSONVILLE, FL
ZIP 32216-708
Phone: (904) 724-9202
Fax: (904) 724-3797

The provider's authorized official is David Corddry .
The authorized official title is Vice President Of Finance and has the following contact phone number (407) 876-2200.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 5/8/2008.

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:

Other Identifiers

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