| NPI | 1710864871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE LEE GREINER Health Services Director / Correcti 239-477-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |