| 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 |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-05-20 |