| Awake & Rooted Wellness & Recovery, Llc | |
|
4412 Cole Farm Rd Nottingham MD 21236-2961 | |
| (443) 528-0822 | |
| Not Available |
| Full Name | Awake & Rooted Wellness & Recovery, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4412 Cole Farm Rd, Nottingham, Maryland |
| Authorized Official Name and Position | Malcolm Lee Broadnax (OWNER) |
| Authorized Official Contact | 4435280822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awake & Rooted Wellness & Recovery, Llc 4412 Cole Farm Rd Nottingham MD 21236-2961 Ph: () - | Awake & Rooted Wellness & Recovery, Llc 4412 Cole Farm Rd Nottingham MD 21236-2961 Ph: (443) 528-0822 |
| NPI Number | 1407740582 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407740582 | NPI | - | NPPES |
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