| NPI | 1417810631 |
|---|---|
| Doing Business As | AWAKEN IV |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WINGO CEO 303-409-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2026-07-20 |