| NPI | 1932138823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R PICCIANO CEO 239-775-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: FL 4212) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: FL 821894) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2013-02-18 |