OrganizationActive
Awaken Recovery Center L.L.C
NPI 1295219657 · Addiction (Substance Use Disorder) Counselor · St Paul, MN
Provider details
- NPI number
- 1295219657
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Parent organization
- Awaken Recovery Center L.L.C
- Organization subpart
- Yes
- Authorized official
- Roderick Coleman, Executive Director(763) 331-2162
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
400 Suite D 393 North Dunlap
St Paul, MN 55104
Phone: (763) 331-2162
Approximate (ZIP-level) locationGet directions
Mailing address
400 Suite D 393 North Dunlap
St Paul, MN 55104
Registry dates
- Enumerated
- 2018-09-21
- Last updated
- 2018-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.