Provider Demographics
NPI:1487952479
Name:R&K FAMILY CENTER, INCORPORATED
Entity type:Organization
Organization Name:R&K FAMILY CENTER, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:IV
Authorized Official - Credentials:MPA
Authorized Official - Phone:904-502-7814
Mailing Address - Street 1:PO BOX 23740
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32241-3740
Mailing Address - Country:US
Mailing Address - Phone:904-642-3243
Mailing Address - Fax:904-645-5949
Practice Address - Street 1:8401 SOUTHSIDE BLVD APT 1007
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-8489
Practice Address - Country:US
Practice Address - Phone:904-642-3243
Practice Address - Fax:904-645-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management