Organization
THE AWARENESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S GRAHAM SR. LCSW (CEO)
(203) 757-0151
Entity
Organization
Contact information
Practice address
796 HIGHLAND AVE, 2ND FLOOR, WATERBURY, CT 06708-4710
(203) 757-0151
(203) 757-0153
Mailing address
796 HIGHLAND AVE, 2ND FLOOR, WATERBURY, CT 06708
(203) 757-0151
(203) 757-0153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
006958
CT
251S00000X
Community/Behavioral Health Agency
Primary
006958
CT
Other
Enumeration date
01/05/2011
Last updated
06/17/2013
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