NPI | 1225884091 |
---|---|
Doing Business As | AWA: ADOLESCENT WELLNESS ACADEMY |
Entity Type | Organization |
Authorized Contact | DUSTIN JOHNSON CEO 561-816-9023 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-08-09 |