| 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 |