Organization
AWAKENING SUBSTANCE ABUSE & BEHAVIORAL HEALTH
Active
Organization
AWAKENING SUBSTANCE ABUSE & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMEHED M SHEK JR. LISW, CADC (EXECUTIVE DIRECTOR)
(319) 351-9760
Entity
Organization
Contact information
Practice address
2030 KEOKUK ST, IOWA CITY, IA 52240-4456
(319) 351-9760
Mailing address
2030 KEOKUK ST, IOWA CITY, IA 52240-4456
(319) 351-9760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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