Organization
AWARENESS THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO A MUJICA MD (OWNER)
(413) 262-6920
Entity
Organization
Contact information
Practice address
264 N MAIN ST STE 1A, EAST LONGMEADOW, MA 01028-1815
(413) 262-6920
Mailing address
264 N MAIN ST STE 1A, EAST LONGMEADOW, MA 01028-1815
(413) 417-4911
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
216641
MA
Other
Enumeration date
09/06/2017
Last updated
01/12/2019
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