OrganizationActive
Alicia Mitchell
NPI 1114331501 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL
Provider details
- NPI number
- 1114331501
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alicia Mitchell, Provider(904) 219-8551
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
5583 Oak Crossing Ct
Jacksonville, FL 32244-8202
Phone: (904) 219-8551
Approximate (ZIP-level) locationGet directions
Mailing address
5583 Oak Crossing Court
Jacksonville, FL 32244
Registry dates
- Enumerated
- 2014-06-13
- Last updated
- 2014-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.