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AWAKENINGS RECOVERY CENTER LLC NPI 1962961508


NPI Information

NPI: 1962961508
Provider Name: AWAKENINGS RECOVERY CENTER, LLC

Doing Business As: TRUHEALING HAGERSTOWN

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 21D2234596

Address:
111 S POTOMAC ST
HAGERSTOWN, MD
ZIP 21740
Phone: (800) 566-1951
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AWAKENINGS RECOVERY CENTER, LLC is a substance abuse rehabilitation facility in Hagerstown, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AWAKENINGS RECOVERY CENTER, LLC NPI is 1962961508. The provider is registered as an organization entity type.
The provider Is Doing Business As Truhealing Hagerstown.

The provider's business location address is:

111 S POTOMAC ST
HAGERSTOWN, MD
ZIP 21740-680
Phone: (800) 566-1951

The provider's authorized official is Kim Brown .
The authorized official title is Director Of Compliance and has the following contact phone number (870) 243-7219.

The CLIA number assigned to this NPI record is 21D2234596 - other - point of care urine testi with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 1/12/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1907671900MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.