Organization
AWAKENED ALTERNATIVES ENTERPRISES
Active
Parent organization
AWAKENED ALTERNATIVES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AWAKENED ALTERNATIVES, INC
Authorized official
GENEVIEVE THOMAS (PRESIDENT/OWNER)
(708) 748-1520
Entity
Organization
Contact information
Practice address
3235 VOLLMER RD, SUITE 200, FLOSSMOOR, IL 60422-2013
(708) 748-1520
(708) 748-1790
Mailing address
3235 VOLLMER RD, SUITE 200, FLOSSMOOR, IL 60422-2013
(708) 748-1520
(708) 748-1790
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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