Organization
AWAKE WINNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKEEM ANTHONY (OWNER)
(504) 250-2867
Entity
Organization
Contact information
Practice address
2045 S FORUM DR APT 2212, GRAND PRAIRIE, TX 75052-1220
(682) 777-8527
Mailing address
2045 S FORUM DR APT 2212, GRAND PRAIRIE, TX 75052-1220
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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