| NPI | 1942937255 | 
|---|---|
| Former Legal Business Name | ADVANCED WELLNESS SERVICES CORP | 
| Entity Type | Organization | 
| Authorized Contact | ANABEL FERNANDEZ Manager 786-536-2945 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2022-08-05 | 
| Last Update Date | 2024-10-29 |