John Ellison Community Recovery Center

LBN: John Ellison Community Recovery Center
John Ellison Community Recovery Center is an health care organization with primary practice located at 6320 Saint Augustine Rd Ste 9A , Jacksonville FL 32217-2813. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. John Ellison Community Recovery Center can be contacted via phone (904) 661-1985, or through Ellison, Tekesha via phone (904) 888-4634.

Contact Information

Primary practice address
6320 Saint Augustine Rd Ste 9A Jacksonville FL 32217-2813
Phone: (904) 661-1985
Fax: (904) 619-0984
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Tekesha
Phone: (904) 888-4634

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1306478797
LBN Legal business name John Ellison Community Recovery Center
DBA Doing business as
Authorized official Ellison, Tekesha
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2020
Last updated Feb 4th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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