| NPI | 1790431146 |
|---|---|
| Doing Business As | PEACE RIVER CENTER |
| Entity Type | Organization |
| Authorized Contact | JO DECK Credentialing Specialist 863-519-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2023-05-24 |