| Awakening Autism Center | |
|
62 E Main St Statesboro GA 30458-4844 | |
| (404) 964-0906 | |
| Not Available |
| Full Name | Awakening Autism Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 62 E Main St, Statesboro, Georgia |
| Authorized Official Name and Position | Kenyotta Hannah (FOUNDER) |
| Authorized Official Contact | 4049640906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Autism Center Po Box 33 Dover GA 30424-0033 Ph: () - | Awakening Autism Center 62 E Main St Statesboro GA 30458-4844 Ph: (404) 964-0906 |
| NPI Number | 1487311981 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487311981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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