NPI | 1558869255 |
---|---|
Former Legal Business Name | AWARENESS AND RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DEWEY CAVIN Clinical Director 385-232-6482 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7095872-3501) |
Enumeration Date | 2018-01-28 |
Last Update Date | 2018-01-28 |