IndividualActive
Collette Holmes
NPI 1932577970 · Mental Illness Community Based Residential Treatment Facility · Jacksonville, FL
Provider details
- NPI number
- 1932577970
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- AL12677 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2821 Hunt St
Jacksonville, FL 32254-4003
Phone: (904) 673-7212
Approximate (ZIP-level) locationGet directions
Mailing address
2821 Hunt St
Jacksonville, FL 32254-4003
Registry dates
- Enumerated
- 2015-09-08
- Last updated
- 2015-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.