Provider First Line Business Practice Location Address:
1201 FIRST STREET SOUTH
Provider Second Line Business Practice Location Address:
WINTER HAVEN HOSPITAL INC BEHAVIORAL HEALTH DIVISION
Provider Business Practice Location Address City Name:
WINTER HAVEN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
33880
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-297-1702
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2007