NPI | 1265187728 |
---|---|
Doing Business As | PEACE RIVER CENTER |
Entity Type | Organization |
Authorized Contact | JO DECK Credentialing Sp;Ecialist 863-519-0575 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Enumeration Date | 2022-02-14 |
Last Update Date | 2023-05-24 |