Organization
AWAKEN AUSTIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON OBENOSKEY (EXECUTIVE DIRECTOR)
(512) 618-3484
Entity
Organization
Contact information
Practice address
15300 HERO WAY W, LEANDER, TX 78641-4015
(954) 800-8387
(754) 212-0473
Mailing address
2222 MARTIN STE 120, IRVINE, CA 92612-1464
(954) 800-8387
(754) 212-0473
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
11/22/2021
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