Organization
BEHAVIORAL HEALTH PROFESSIONALS LLC
Active
Parent organization
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.
Authorized official
BENNIE ALLRED (CEO)
(863) 519-0575
Entity
Organization
Contact information
Practice address
4951 SOUTHFORK DRIVE, LAKELAND, FL 33813
(863) 577-2625
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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