| NPI | 1821097767 |
|---|---|
| Doing Business As | PEACE RIVER CENTER |
| Entity Type | Organization |
| Authorized Contact | JO DECK Credentialing Specialist 863-519-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 284300000X Special Hospital | |
| 251B00000X Case Management | |
| 207Q00000X Family Medicine | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2023-12-04 |