Self-Awareness, LLC
NPI #1760859680 in Des Moines, Iowa
Provider Information
- NPI Number
- 1760859680
- Entity Type
- Organization
- Organization Name
- Self-Awareness, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Aug 26, 2015
- Last Updated
- Aug 26, 2015
Practice Location
- Address
- 2301 FOREST AVE
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50311-3113
- Phone
- (515) 277-0320
Authorized Official
- Name
- MR. JEROME MILLER, CADC
- Title
- ECECUTIVE DIRECTOR/COUNSELOR
- Phone
- (515) 277-0320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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