NPI | 1154535060 |
---|---|
Doing Business As | AWAKENINGS |
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0427007) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: KS 0427007) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2023-06-05 |