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Michelle Johnson
Substance Abuse Rehabilitation Facility in Jacksonville, Florida
NPI 1811145006

Michelle Johnson is a Substance Abuse Rehabilitation Facility based in Jacksonville, FL. Michelle Johnson practices in Jacksonville, FL. The NPI Number for Michelle Johnson is 1811145006 and holds a License No. (Florida).

The current practice location address for Michelle Johnson is 1545 Parkwood St, Jacksonville, FL and can be reached out via phone at 904-858-9740 and via fax at 904-733-2681.

Location: 1545 Parkwood St, Jacksonville, FL, 32207-5476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811145006
Provider Name
Michelle Johnson
Credential
Provider Entity Type
Organization
Address
1545 Parkwood St, Jacksonville, FL, 32207-5476
Phone Number
904-858-9740
Fax Number
904-733-2681
Provider Enumeration Date
09/03/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1545 Parkwood St
City
Jacksonville
State
Florida
Zip
32207-5476
Phone Number
904-858-9740
Fax Number
904-733-2681
person
Provider Business Mailing Address Details
Address
1545 Parkwood St
City
Jacksonville
State
Florida
Zip
32207-5476
Phone Number
904-858-9740
Fax Number
904-733-2681
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
(Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Florida)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Florida)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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