Ellison Community Recovery Center

LBN: Ellison Community Recovery Center
Ellison Community Recovery Center is an health care organization with primary practice located at 4688 Camp Creek Ln , Orange Park FL 32065-2666. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Ellison Community Recovery Center can be contacted via phone (904) 572-5294, or through Ellison, Tekesha A via phone (904) 572-5294.

Contact Information

Primary practice address
4688 Camp Creek Ln Orange Park FL 32065-2666
Phone: (904) 572-5294
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Tekesha A
Phone: (904) 572-5294

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1710338496
LBN Legal business name Ellison Community Recovery Center
DBA Doing business as
Authorized official Ellison, Tekesha A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2016
Last updated Jun 23rd, 2016 - about 8 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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