Awa: Adolescent Wellness Academy | |
9350 Sunset Dr Ste 118 Miami FL 33173-3245 | |
(561) 816-9023 | |
(954) 368-1345 |
Full Name | Awa: Adolescent Wellness Academy |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 9350 Sunset Dr Ste 118, Miami, Florida |
Authorized Official Name and Position | Dustin Johnson (CEO) |
Authorized Official Contact | 5618169023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Awa: Adolescent Wellness Academy 9350 Sunset Dr Miami FL 33173-3286 Ph: () - | Awa: Adolescent Wellness Academy 9350 Sunset Dr Ste 118 Miami FL 33173-3245 Ph: (561) 816-9023 |
NPI Number | 1225884091 |
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Provider Enumeration Date | 04/24/2024 |
Last Update Date | 08/09/2024 |
Certification Date | 08/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225884091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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