| NPI | 1750369666 |
|---|---|
| Former Legal Business Name | ACT CORPORATION |
| Entity Type | Organization |
| Authorized Contact | IVAN A COSIMI CEO 386-236-1811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 251S00000X (Licence: FL 407) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-11-08 |