| NPI | 1437500063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM J MCCORMICK Director Of Corrections 239-332-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 3601) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2022-07-21 |