NPI | 1861814022 |
---|---|
Doing Business As | HEROES MILE |
Entity Type | Organization |
Authorized Contact | ANNINE HELEN OGDEN Staff Accountant 813-978-1933 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0949AD581501) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2014-01-07 |
Last Update Date | 2023-09-26 |