NPI 1063042117
Prestige Detox
Practice location
- Address
- 250 Thelma Ave, Jupiter, FL 33458-8091
- Phone
- (561) 935-3885
- Fax
- (561) 203-2689
Authorised official
- Name
- Mimi Bieda
- Title
- Owner
- Phone
- (561) 935-3885
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1063042117
- Entity type
- Organization
- NPI issued
- 16 Jan 2020
- Record last updated
- 16 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.