Provider Demographics
NPI:1417683301
Name:HUMAN TOUCH INITIATIVES LLC
Entity Type:Organization
Organization Name:HUMAN TOUCH INITIATIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:AWANDEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-346-1858
Mailing Address - Street 1:18413 W PUEBLO AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-2014
Mailing Address - Country:US
Mailing Address - Phone:781-346-1858
Mailing Address - Fax:
Practice Address - Street 1:18413 W PUEBLO AVE
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-2014
Practice Address - Country:US
Practice Address - Phone:781-346-1858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMAN TOUCH INITIATIVES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health