| Awakenings | |
|
920 Fir St Longview WA 98632-2525 | |
| (360) 423-2806 | |
| (360) 423-5128 |
| Full Name | Awakenings |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 920 Fir St, Longview, Washington |
| Authorized Official Name and Position | Melody Kay Lorenzo (ADMINISTRATOR) |
| Authorized Official Contact | 3604232806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakenings 920 Fir St Longview WA 98632-2525 Ph: (360) 423-2806 | Awakenings 920 Fir St Longview WA 98632-2525 Ph: (360) 423-2806 |
| NPI Number | 1801018528 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801018528 | NPI | - | NPPES |
| 081193 | Other | WA | STATE CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (Washington) | Primary |
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