| Awaken Your Mind Llc | |
|
141 S Black Horse Pike Ste 104 Blackwood NJ 08012-2975 | |
| (856) 393-1991 | |
| Not Available |
| Full Name | Awaken Your Mind Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 141 S Black Horse Pike, Blackwood, New Jersey |
| Authorized Official Name and Position | Allen Masry (SOLE OWNER) |
| Authorized Official Contact | 8563931991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken Your Mind Llc 141 S Black Horse Pike Ste 104 Blackwood NJ 08012-2975 Ph: (856) 393-1991 | Awaken Your Mind Llc 141 S Black Horse Pike Ste 104 Blackwood NJ 08012-2975 Ph: (856) 393-1991 |
| NPI Number | 1770952996 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770952996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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