| Divine Awakening Center Llc | |
|
121 W 200 S Farmington UT 84025-2327 | |
| (385) 319-1107 | |
| Not Available |
| Full Name | Divine Awakening Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 121 W 200 S, Farmington, Utah |
| Authorized Official Name and Position | Brandee Downes (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3853191107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Awakening Center Llc 121 W 200 S Farmington UT 84025-2327 Ph: (385) 319-1107 | Divine Awakening Center Llc 121 W 200 S Farmington UT 84025-2327 Ph: (385) 319-1107 |
| NPI Number | 1710670617 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710670617 | NPI | - | NPPES |
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