ABSOLUTE AWAKENINGS TREATMENT CENTER LLC
NPI 1265088892
Clinic/Center - Rehabilitation, Substance Use Disorder in Denville, NJ
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 31D2177454
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 01-12-2026
About ABSOLUTE AWAKENINGS TREATMENT CENTER LLC
This page provides the complete NPI Profile along with additional information for Absolute Awakenings Treatment Center Llc, a provider established in Denville, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1265088892 assigned on August 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Tyler Kempson (Ceo)
- NPI
- 1265088892 Verify this NPI
- Provider Name
- ABSOLUTE AWAKENINGS TREATMENT CENTER LLC
- Entity Type
- Organization
- Location Address
- 3000 ROUTE 10 WEST DENVILLE, NJ 07834
- Location Phone
- (973) 946-0928
- Mailing Address
- 14 BIRCH TREE LN SPARTA, NJ 07871
- Mailing Phone
- (973) 943-0928
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2019
- Last Update Date
- 08-09-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2177454
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- January 13, 2024
- Certificate Expiration Date
- January 12, 2026
- Laboratory Director
- TIMOTHY JACKSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Absolute Awakenings Treatment Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265088892, enumerated as an "organization" on August 09, 2019.
The provider is located at 3000 ROUTE 10 WEST DENVILLE, NJ 07834 and the phone number is (973) 946-0928.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
