Organization
THE AWAKENING WELLNESS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE DENICE BARNES CSAC (CEO)
(910) 340-3630
Entity
Organization
Contact information
Practice address
8 CARVER RD, JACKSONVILLE, NC 28540-7010
(910) 340-3630
(910) 597-1007
Mailing address
8 CARVER RD, JACKSONVILLE, NC 28540-7010
(910) 340-3630
(910) 597-1007
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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