| NPI | 1215345954 |
|---|---|
| Former Legal Business Name | PREVENT |
| Entity Type | Organization |
| Authorized Contact | JAMES B WHITAKER President/CEO 321-722-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |