Organization
AWAKEN RECOVERY LLC
Active
Other names
Awaken Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN W BAKER (CHIEF OPERATING OFFICER)
(410) 762-9977
Entity
Organization
Contact information
Practice address
708 CHURCH ST, CAMBRIDGE, MD 21613-1783
(410) 762-9777
Mailing address
PO BOX 533, SECRETARY, MD 21664-0533
(410) 762-9977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B260-799-65-343-0
DRIVER LICENSE
FL
Enumeration date
03/19/2020
Last updated
03/19/2020
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