| Organization Name: | SAIC |
| NPI Number: | 1730406281 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA SUSAN LASSITER (ADOLESCENT COUNSELOR) |
| Mailing Address: | Psc 476 Box 62 Fpo |
| State: | AP US |
| Postal Code: | 963220001 |
| Phone Number: | 81956281371 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | MH6754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |