Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Recovery Care |
261QR0800X | |||
Adult Mental Health |
261QM0850X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1962947101 |
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| LBN Legal business name | AWAKENING BEHAVIORAL HEALTH, LLC | ||||||||||||
| Authorized official | KERRYLYNN BACA-PELPHREY - (CCO, EXEC DIR PAYOR RELATIONS) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 12/26/2016 | ||||||||||||
| Last updated | 11/27/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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AWAKENING BEHAVIORAL HEALTH, LLC