| NPI | 1518234830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON DEROSA Director Of Human Resources 321-722-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 251S00000X (Licence: FL 8540) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2022-02-28 |