| NPI | 1356329163 |
|---|---|
| Former Legal Business Name | ACT CORPORATION |
| Entity Type | Organization |
| Authorized Contact | IVAN A COSIMI CEO/President 386-236-1811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-06-28 |