Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1407248289 |
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| LBN Legal business name | SIMPLY AWAKE LLC | ||||
| Authorized official | JONATHAN LABMAN - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/03/2015 | ||||
| Last updated | 03/03/2015 - About 11 years ago | ||||
| Identifiers |
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