NPI | 1366231995 |
---|---|
Former Legal Business Name | IM WELLNESS CENTER,LLC |
Entity Type | Organization |
Authorized Contact | IRAISY MENDEZ Owner 786-332-9540 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-05-01 |