Provider First Line Business Practice Location Address:
BOLD CITY THERAPY AND WELLNESS LLC
Provider Second Line Business Practice Location Address:
2054 PARK STREET
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-551-0946
Provider Business Practice Location Address Fax Number:
904-551-0974
Provider Enumeration Date:
03/20/2019