NPI 1558122580
Peace River Center for Personal Development INC
Practice location
- Address
- 715 N Lake Ave, Lakeland, FL 33801-1908
- Phone
- (863) 519-0575
- Fax
- (863) 582-9251
- Mailing address
- PO Box 1559, Bartow, FL 33831-1559
Authorised official
- Name
- Jo Deck
- Title
- Credentialing Specialist
- Phone
- (863) 519-0575
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1558122580
- Entity type
- Organization
- NPI issued
- 17 Jan 2024
- Record last updated
- 17 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.