| NPI | 1033487418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN OLES Mental Health Thearapist 863-409-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL PSW 836) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI L1726685) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |