| NPI | 1154526556 |
|---|---|
| Former Legal Business Name | ACT CORPORATION |
| Entity Type | Organization |
| Authorized Contact | IVAN A COSIMI CEO 386-236-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-07-29 |