Inner Awakening Therapy Center Llc | |
1575 Detrick Ave Deland FL 32724-2042 | |
(407) 906-8633 | |
Not Available |
Full Name | Inner Awakening Therapy Center Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1575 Detrick Ave, Deland, Florida |
Authorized Official Name and Position | Adel M Ceballos-rosario (OWNER) |
Authorized Official Contact | 4079068633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inner Awakening Therapy Center Llc 1575 Detrick Ave Deland FL 32724-2042 Ph: (407) 906-8633 | Inner Awakening Therapy Center Llc 1575 Detrick Ave Deland FL 32724-2042 Ph: (407) 906-8633 |
NPI Number | 1205325297 |
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Provider Enumeration Date | 05/04/2018 |
Last Update Date | 10/04/2021 |
Certification Date | 10/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205325297 | NPI | - | NPPES |
1205325297 | Medicaid | FL |
News Archive
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