Organization
MIHS OF WINNSBORO, LLC
Active
Other names
The Wave of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
GIULIANNA BOARI (CFO)
(714) 713-4085
Entity
Organization
Contact information
Practice address
1403 GREENBRIER MOSSYDALE RD, WINNSBORO, SC 29180-8932
(310) 547-7501
Mailing address
28059 US 19 N STE 205, CLEARWATER, FL 33761-2620
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/12/2023
Last updated
10/01/2025
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