| NPI | 1780194050 |
|---|---|
| Other Name | IMPERIUM WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ADAM ADLER Authorized Official 800-652-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-01-31 |