NPI | 1013931765 |
---|---|
Doing Business As | NORTHEAST FLORIDA STATE HOSPITAL |
Entity Type | Organization |
Authorized Contact | LINDA G. WILLIAMS Hospital Administrator 904-330-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: FL 4004) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-11-18 |