| NPI | 1689164139 |
|---|---|
| Doing Business As | WAVES RECOVERY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILGER CEO 954-332-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2019-06-25 |