| NPI | 1558122580 |
|---|---|
| Doing Business As | PEACE RIVER CENTER |
| Entity Type | Organization |
| Authorized Contact | JO DECK Credentialing Specialist 863-519-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |