NPI | 1881096071 |
---|---|
Entity Type | Organization |
Authorized Contact | WILHELM CHARLES JOSEPH LARSEN Owner, President 561-707-4161 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL ME0027507) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: FL ME0027507) |
Enumeration Date | 2014-09-19 |
Last Update Date | 2016-04-18 |