| NPI | 1629545678 |
|---|---|
| Doing Business As | SUBLIME WELLNESS CENTER |
| Doing Business As | CREO SPERO |
| Doing Business As | CREATE HOPE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | MIKE PRIESING Owner 657-342-0265 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-09-14 |