Organization
AGOURA NEUROFEEDBACK
Active
Other names
Awakenings Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN AUSTIN (CONSULTANT)
(213) 973-2906
Entity
Organization
Contact information
Practice address
5490 FAIRVIEW PL, AGOURA HILLS, CA 91301-2224
(310) 848-5418
Mailing address
28720 ROADSIDE DR STE 200, AGOURA HILLS, CA 91301-4576
(310) 848-5418
(855) 717-3268
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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