MEDICARE: AWAKENINGS CMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1720040553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AWAKENINGS CMHC

Provider Business Mailing Address
First Line	:	2281 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3433
Country	:	US
Telephone Number	:	305-860-5727
Fax Number	:	305-860-9355

Provider Business Practice Location Address
First Line	:	2281 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3433
Country	:	US
Telephone Number	:	305-860-5727
Fax Number	:	305-860-9355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA CAZARES
Credential	:
Telephone Number	:	305-860-5727

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	08/22/2020

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Directions to “AWAKENINGS CMHC ” Practice Location

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