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NEW HEAVEN DOMINION INC NPI 1265680805


NPI Information

NPI: 1265680805
Provider Name: NEW HEAVEN DOMINION, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
9146 RIDGE BRIER LN
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 647-6651
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NEW HEAVEN DOMINION, INC is a community behavioral health in Jacksonville, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NEW HEAVEN DOMINION, INC NPI is 1265680805. The provider is registered as an organization entity type.

The provider's business location address is:

9146 RIDGE BRIER LN
JACKSONVILLE, FL
ZIP 32225-325
Phone: (904) 647-6651
Fax: (904) 647-6653

The provider's authorized official is Brian Arthur George .
The authorized official title is Executive Director and has the following contact phone number (904) 790-0721.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 9/12/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health02084206FLORIDAYes

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: 4/28/2024

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