A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Psychiatric Residential Treatment Facility |
323P00000X |
| NPI Number | 1619412046 |
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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 | 12/20/2016 | ||||||||||||
| Last updated | 03/30/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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