| NPI | 1992214902 |
|---|---|
| Doing Business As | IMPERIUM WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ADAM ADLER Authorized Official 800-652-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2018-01-31 |