Organization
HRC THE SANCTUARY, LLC
Active
Other names
IMPERIUM WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ADLER (AUTHORIZED OFFICIAL)
(800) 652-0608
Entity
Organization
Contact information
Practice address
8290 N UNIVERSITY DR, TAMARAC, FL 33321-1710
(877) 723-7117
Mailing address
150 NW 168TH ST STE 200, NORTH MIAMI BEACH, FL 33169-6034
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
01/31/2018
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