Organization · Type 2 NPI
Awaken By Wellness LLC
Community Health Clinic/Center · Terry, MS
NPI number
1952117533
Active
Practice location
606 North Utica Street
Terry, MS 39170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Local Education Agency (LEA) | 251300000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| PACE Provider Organization | 251T00000X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
| Preferred Provider Organization | 305R00000X | None listed |
Community Health Clinic/Center: Definition to come...
About NPI 1952117533
Awaken By Wellness LLC's National Provider Identifier is 1952117533, issued on Dec 9, 2024. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Terry, MS. The record was last updated on Dec 9, 2024.