NPI: 1457694747
Provider Name: AGOURA NEUROFEEDBACK, INC.
Doing Business As: AWAKENINGS
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 05D2076655
Address:
28632 ROADSIDE DR STE 210
AGOURA HILLS, CA
ZIP 91301
Phone: (855) 717-3268
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AGOURA NEUROFEEDBACK, INC. is a rehabilitation and substance use disorder clinic center in Agoura Hills, CA. AGOURA NEUROFEEDBACK, INC. NPI is 1457694747. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Awakenings.
The provider's business location address is:
28632 ROADSIDE DR STE 210
AGOURA HILLS, CA
ZIP 91301-091
Phone: (855) 717-3268
Fax: (805) 435-1540
The provider's authorized official is Shari Beth Stillman-corbitt .
The authorized official title is Owner and has the following contact phone number (310) 848-5418.
The CLIA number assigned to this NPI record is 05D2076655 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/4/2013 and was last updated on 12/14/2023.