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Organization

PRESTIGE DETOX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIMI BIEDA (OWNER)
(561) 935-3885
Entity
Organization

Contact information

Practice address
250 THELMA AVE, JUPITER, FL 33458-8091
(561) 935-3885
(561) 203-2689
Mailing address
250 THELMA AVE, JUPITER, FL 33458-8091
(561) 935-3885
(561) 203-2689

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
01/16/2020
Last updated
01/16/2020
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