Peace River Center For Personal Development Inc in Bartow - Adolescent And Children Mental Health
Peace River Center For Personal Development Inc - NPI 1821097767
Peace River Center For Personal Development Inc is a Adolescent And Children Mental Health in Bartow, Florida. Peace River Center For Personal Development Inc practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Peace River Center For Personal Development Inc is 1821097767. The last update date is 2023-12-04.
Peace River Center For Personal Development Inc's current location address is Po Box 1559, Bartow, Florida. You can contact this provider via phone number 8635190575 and fax number 8635829251. The mailing address for Peace River Center For Personal Development Inc is Po Box 1559, Bartow, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peace River Center For Personal Development Inc |
|---|---|
| Address | Po Box 1559, Bartow, Florida |
| Phone Number | 8635190575 |
| Fax Number | 8635829251 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Deck Jo |
| Credentials | BA, CPC |
| Telephone Number | 8635190575 |
NPI Number Detail
| NPI Number | 1821097767 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | Po Box 1559 |
|---|---|
| City | Bartow |
| State | Florida (FL) |
| Post Code | 338311559 |
| Phone Number | 8635190575 |
| Fax Number | 8635829251 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60310405 | FL | -- | |
| 60310406 | FL | -- | |
| 60310417 | FL | -- | |
| 60310424 | FL | -- | |
| 761545101 | FL | -- | |
| 60310401 | FL | -- | |
| 60310410 | FL | -- | |
| 60310425 | FL | -- | |
| 60310437 | FL | -- | |
| 60310409 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Peace River Center For Personal Development Inc by the Centers for Medicare & Medicaid Services?
The Peace River Center For Personal Development Inc has been assigned the NPI (National Provider Identifier) 1821097767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Peace River Center For Personal Development Inc is physically located?
The Peace River Center For Personal Development Inc is situated at the following address: Po Box 1559, Bartow, FL 338311559.
What is Peace River Center For Personal Development Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peace River Center For Personal Development Inc's specialized field of practice is Adolescent And Children Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0855X.
When did Peace River Center For Personal Development Inc receive its 1821097767 assignment?
The Peace River Center For Personal Development Inc was assigned its 1821097767 on 2005-07-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Peace River Center For Personal Development Inc most recently updated or revised?
The information pertaining to Peace River Center For Personal Development Inc, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-04.
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