| NPI | 1356548721 |
|---|---|
| Doing Business As | CENTRAL FLORIDA TREATMENT CENTER PALM BAY |
| Entity Type | Organization |
| Authorized Contact | DAVE KNEESSY Regional Director 321-951-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 0705AD119402) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-05-19 |