AWAKENING INC. NPI 1356502728

NPI Information

AWAKENING, INC. is an addiction (substance use disorder) counselor in Jacksonville, FL. AWAKENING, INC. NPI is 1356502728. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6100 GREENLAND RD
SUITE 202
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 733-7383

The provider's authorized official is Jeremy S. Mirabile .
The authorized official title is Owner/medical Direcctor and has the following contact phone number (904) 733-7383.

The CLIA number assigned to this NPI record is 10D2173234 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 10/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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