Organization
AWAKENING AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYOTTA HANNAH (FOUNDER)
(404) 964-0906
Entity
Organization
Contact information
Practice address
62 E MAIN ST, STATESBORO, GA 30458-4844
(404) 964-0906
Mailing address
PO BOX 33, DOVER, GA 30424-0033
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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