Provider Demographics
NPI:1013451665
Name:GIRLFRIENDS CONNECTED INC
Entity Type:Organization
Organization Name:GIRLFRIENDS CONNECTED INC
Other - Org Name:GIRLFRIENDS CONNECTED PINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SHARELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNEAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-247-3393
Mailing Address - Street 1:11658 JERRY ADAMS CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-2960
Mailing Address - Country:US
Mailing Address - Phone:386-313-5592
Mailing Address - Fax:
Practice Address - Street 1:11658 JERRY ADAMS CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-2960
Practice Address - Country:US
Practice Address - Phone:386-313-5592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services