Provider Demographics
NPI:1023725496
Name:ADMIRE RESTORATIVE MENTAL HEALTH SERVICES INC.
Entity type:Organization
Organization Name:ADMIRE RESTORATIVE MENTAL HEALTH SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESICENT
Authorized Official - Prefix:
Authorized Official - First Name:ADMIRE
Authorized Official - Middle Name:HAWA
Authorized Official - Last Name:KROMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-227-6494
Mailing Address - Street 1:1700 HOOKS ST UNIT 7208
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-3563
Mailing Address - Country:US
Mailing Address - Phone:407-227-6494
Mailing Address - Fax:352-241-8204
Practice Address - Street 1:529 E CROWN POINT RD STE 120
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3618
Practice Address - Country:US
Practice Address - Phone:407-227-6494
Practice Address - Fax:352-241-8204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty