NPI | 1366985889 |
---|---|
Doing Business As | SUBLIME WELLNESS CENTER |
Doing Business As | CREO SPERO |
Entity Type | Organization |
Authorized Contact | MICHAEL RICHARD PRIESING Owner 657-342-0265 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2016-12-01 |
Last Update Date | 2024-05-20 |