OrganizationActive
Awareness Therapy Center, LLC
NPI 1649798000 · Behavioral Neurology & Neuropsychiatry Physician · East Longmeadow, MA
Provider details
- NPI number
- 1649798000
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ricardo Mujica, Owner
- License
- 216641 (MA)
Practice location
264 N Main St Ste 1a
East Longmeadow, MA 01028-1815
Phone: (413) 262-6920
Mailing address
264 N Main St Ste 1a
East Longmeadow, MA 01028-1815
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2019-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.