| Organization Name: | WILHELM C J LARSEN MD PA |
| NPI Number: | 1881096071 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILHELM CHARLES JOSEPH LARSEN (OWNER, PRESIDENT) |
| Mailing Address: | 351 Potter Rd West Palm Beach |
| State: | FL US |
| Postal Code: | 334053621 |
| Phone Number: | 5617074161 |
| Fax Number: | 5619082604 |
| NPI Enumeration Date: | 09/19/2014 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | ME0027507 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |