| Empower Youth, Llc | |
|
210 W Front St Media PA 19063-3101 | |
| (610) 565-4360 | |
| (610) 565-3076 |
| Full Name | Empower Youth, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 W Front St, Media, Pennsylvania |
| Authorized Official Name and Position | Margaret Mae Pruett-saratan (PRESIDENT/LEAD COUNSELOR) |
| Authorized Official Contact | 6107427782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Youth, Llc 210 W Front St Media PA 19063-3101 Ph: (610) 565-4360 | Empower Youth, Llc 210 W Front St Media PA 19063-3101 Ph: (610) 565-4360 |
| NPI Number | 1871727883 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 12/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871727883 | NPI | - | NPPES |
| 1020417300001 | Medicaid | PA | |
| 11767954 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC004594 (Pennsylvania) | Primary |
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