institution
Lavon M. Gainey
Mental Illness Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1396298915

Lavon M. Gainey is a Mental Illness Community Based Residential Treatment Facility based in Jacksonville, FL. Lavon M. Gainey practices in Jacksonville, FL. The NPI Number for Lavon M. Gainey is 1396298915 and holds a License No. (Florida).

The current practice location address for Lavon M. Gainey is 11265 Alumni Way, Jacksonville, FL and can be reached out via phone at 904-518-6090. You can also correspond with Lavon M. Gainey through the mailing address at 11265 ALUMNI WAY, JACKSONVILLE, FL - 32246-6685 (mailing address contact number: 904-518-6090).

Location: 11265 Alumni Way, Jacksonville, FL, 32246-6685
institution
Provider Profile Details
NPI Number
1396298915
Provider Name
Lavon M. Gainey
Credential
Provider Entity Type
Organization
Address
11265 Alumni Way, Jacksonville, FL, 32246-6685
Phone Number
904-518-6090
Fax Number
Provider Enumeration Date
08/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH13303 01 FL MENTAL HEALTH LICENSURE #
institution
Provider Business Practice Location Address Details
Address
11265 Alumni Way
City
State
Zip
32246-6685
Phone Number
904-518-6090
Fax Number
person
Provider Business Mailing Address Details
Address
11265 Alumni Way
City
State
Zip
32246-6685
Phone Number
904-518-6090
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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