Awaken Recovery Foundation Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AWAKEN RECOVERY FOUNDATION INC.

Practice address

708 Church St
Cambridge, MD 21613-1783

Phone

(719) 966-9987

NPI assigned

Sep 11, 2020

Last updated

Sep 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley Rogers

Title

Director/ Ceo

Phone

(719) 966-9987

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1194330647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "SECRETARY",
            "state": "MD",
            "postal_code": "216640533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131783",
            "telephone_number": "719-966-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN RECOVERY FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR/ CEO",
        "authorized_official_telephone_number": "719-966-9987"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Awaken Recovery LLC (Awaken Recovery)
• Hyun M. Bae, DDS
• Baubak Baghi, DDS
• Fred R. Bailor Jr., DO
• William E Bair, M.D.

• Community/Behavioral Health Agency in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.