| Empowered For Excellence Behavioral Health California Llc | |
|
3701 Stocker St View Park CA 90008-5108 | |
| (419) 699-2859 | |
| Not Available |
| Full Name | Empowered For Excellence Behavioral Health California Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3701 Stocker St, View Park, California |
| Authorized Official Name and Position | Carl Frank Blazik (CONSULTANT) |
| Authorized Official Contact | 4193663974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered For Excellence Behavioral Health California Llc 3170 W Central Ave Ste D Toledo OH 43606-2945 Ph: (567) 316-7231 | Empowered For Excellence Behavioral Health California Llc 3701 Stocker St View Park CA 90008-5108 Ph: (419) 699-2859 |
| NPI Number | 1104467158 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 06/14/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104467158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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