Organization
FORGOTTEN MOM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIANCA S GERENA PHD (ADMINISTRATION)
(561) 704-9558
Entity
Organization
Contact information
Practice address
2574 TREANOR TER, WELLINGTON, FL 33414-6407
(561) 704-9558
Mailing address
2574 TREANOR TER, WELLINGTON, FL 33414-6407
(561) 704-9558
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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