| Awaken Recovery Llc | |
|
708 Church St Cambridge MD 21613-1783 | |
| (410) 762-9777 | |
| Not Available |
| Full Name | Awaken Recovery Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 708 Church St, Cambridge, Maryland |
| Authorized Official Name and Position | Sean W Baker (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4107629977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken Recovery Llc Po Box 533 Secretary MD 21664-0533 Ph: (410) 762-9977 | Awaken Recovery Llc 708 Church St Cambridge MD 21613-1783 Ph: (410) 762-9777 |
| NPI Number | 1023644283 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 03/19/2020 |
| Certification Date | 03/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023644283 | NPI | - | NPPES |
| B260-799-65-343-0 | Other | FL | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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