| Empower The New Generation, Llc | |
|
76 Aycrigg Ave Passaic NJ 07055-5625 | |
| (973) 418-1139 | |
| Not Available |
| Full Name | Empower The New Generation, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 76 Aycrigg Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Antonedy Ledesma (C0-CEO & FOUNDER) |
| Authorized Official Contact | 9734181139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower The New Generation, Llc 158 Main Ave # 5328 Passaic NJ 07055-5448 Ph: (973) 418-1139 | Empower The New Generation, Llc 76 Aycrigg Ave Passaic NJ 07055-5625 Ph: (973) 418-1139 |
| NPI Number | 1649624131 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649624131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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