| Awakening Recovery Center | |
|
1204 E Baseline Rd Suite 208 Tempe AZ 85283-1454 | |
| (480) 209-1977 | |
| Not Available |
| Full Name | Awakening Recovery Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1204 E Baseline Rd, Tempe, Arizona |
| Authorized Official Name and Position | Scott Payne Richard (CERTIFIED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4802091977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Recovery Center 1204 E Baseline Rd Suite 208 Tempe AZ 85283-1454 Ph: (480) 209-1977 | Awakening Recovery Center 1204 E Baseline Rd Suite 208 Tempe AZ 85283-1454 Ph: (480) 209-1977 |
| NPI Number | 1477973170 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477973170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-10360 (Arizona) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | CSLG7734 (Arizona) | Primary |
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