Organization
ENHANCED HEALING WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RAJARAM (BILLING MANAGER)
(954) 272-6723
Entity
Organization
Contact information
Practice address
875 NE 79TH ST, MIAMI, FL 33138-4740
(786) 457-1996
Mailing address
875 NE 79TH ST, MIAMI, FL 33138-4740
(786) 457-1996
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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