NPI | 1457694747 |
---|---|
Doing Business As | AWAKENINGS |
Entity Type | Organization |
Authorized Contact | SHARI BETH STILLMAN-CORBITT Owner 310-848-5418 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
Enumeration Date | 2013-04-04 |
Last Update Date | 2023-12-14 |