| NPI | 1588422364 |
|---|---|
| Doing Business As | IMAGINE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JAMIE MATHEWS Finance And Human Resource Manager 678-771-8468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |