| NPI | 1679541031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON DEROSA Vice President Human Relations 321-722-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 8550) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: FL 8599) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2024-04-16 |