| NPI | 1588777460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON DEROSA Hr Manager 321-722-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: FL 3987) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 8550) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: FL 8599) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-02-28 |