NPI | 1558190173 |
---|---|
Doing Business As | PEACE RIVER CENTER - BCSU |
Entity Type | Organization |
Authorized Contact | JO DECK Credentialing Specialist 863-519-0575 |
Organization Subpart ? | No |
Primary Taxonomy | 284300000X Special Hospital |
Enumeration Date | 2024-07-31 |
Last Update Date | 2024-07-31 |