Provider Demographics
NPI:1578875605
Name:THE NDAR CORPORATION
Entity Type:Organization
Organization Name:THE NDAR CORPORATION
Other - Org Name:D/B/A WINTER PARK RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:NIES
Authorized Official - Suffix:JR
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:407-629-0413
Mailing Address - Street 1:2056 ALOMA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3340
Mailing Address - Country:US
Mailing Address - Phone:407-629-0413
Mailing Address - Fax:407-629-2603
Practice Address - Street 1:2056 ALOMA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3340
Practice Address - Country:US
Practice Address - Phone:407-629-0413
Practice Address - Fax:407-629-2603
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE NDAR CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder