Peace River Center For Personal Development Inc is a Non-emergency Medical Transport (VAN) based in Bartow, FL. Peace River Center For Personal Development Inc practices in Bartow, FL. The NPI Number for Peace River Center For Personal Development Inc is 1821097767 and holds a License No. (Florida).
The current practice location address for Peace River Center For Personal Development Inc is 1239 E Main St, Bartow, FL and can be reached out via phone at 863-519-0575 and via fax at 863-582-9251.
Location: 1239 E Main St, Bartow, FL, 33831-1559
Provider Profile Details
NPI Number
1821097767
Provider Name
Peace River Center For Personal Development Inc
Credential
Provider Entity Type
Organization
Address
1239 E Main St, Bartow, FL, 33831-1559
Phone Number
863-519-0575
Fax Number
863-582-9251
Provider Enumeration Date
07/20/2005
Last Update Date
10/19/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060310400 | 05 | FL | |
| 060310401 | 05 | FL | |
| 060310410 | 05 | FL | |
| 060310424 | 05 | FL | |
| 060310405 | 05 | FL | |
| 060310412 | 05 | FL | |
| 060310414 | 05 | FL | |
| 060310417 | 05 | FL | |
| 060310411 | 05 | FL | |
| 060310419 | 05 | FL | |
| 060310425 | 05 | FL | |
| 060310434 | 05 | FL | |
| 060310435 | 05 | FL | |
| 060310439 | 05 | FL | |
| 060310404 | 05 | FL | |
| 060310421 | 05 | FL | |
| 060310422 | 05 | FL | |
| 060310438 | 05 | FL | |
| 060310429 | 05 | FL | |
| 103255300 | 05 | FL | |
| 060310406 | 05 | FL | |
| 060310413 | 05 | FL | |
| 060310426 | 05 | FL | |
| 060310432 | 05 | FL | |
| 060310415 | 05 | FL | |
| 060310409 | 05 | FL | |
| 060310423 | 05 | FL | |
| 060310437 | 05 | FL | |
| 103255700 | 05 | FL |
Provider Business Practice Location Address Details
Address
1239 E Main St
City
State
Zip
33830-5058
Phone Number
863-519-0575
Fax Number
863-582-9251
Provider Business Mailing Address Details
Address
1239 E Main St
City
State
Zip
33830-5058
Phone Number
863-519-0575
Fax Number
863-582-9251
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
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 patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Hospitals
Classification
Special Hospital
Speciality
-
Taxonomy
License No.
()
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
Provider's Taxonomy Details 9
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 10
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Provider's Taxonomy Details 11
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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