NPI | 1588758478 |
---|---|
Doing Business As | HENDRY-GLADES BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JOSEPH F. HOSICK CEO / CFO 863-983-1423 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 0822AD8636-00) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 0826AD8636-01) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2009-12-17 |