| Awakening | |
|
17 Paradise Rd # 1057 Salem MA 01970-4229 | |
| (978) 219-6749 | |
| Not Available |
| Full Name | Awakening |
|---|---|
| Speciality | Social Worker |
| Location | 17 Paradise Rd # 1057, Salem, Massachusetts |
| Authorized Official Name and Position | Janet Colon (INDIVIDUAL CONTRACTOR) |
| Authorized Official Contact | 9785723420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening 17 Paradise Rd # 1057 Salem MA 01970-4229 Ph: (978) 219-6749 | Awakening 17 Paradise Rd # 1057 Salem MA 01970-4229 Ph: (978) 219-6749 |
| NPI Number | 1548969504 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548969504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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