| NPI | 1669178349 |
|---|---|
| Doing Business As | THE PLACE |
| Entity Type | Organization |
| Authorized Contact | AMBER V SCREEN President 863-777-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |