| Empowered For Excellence, Empowering Youth, Llc | |
|
3170 W Central Ave Ste G Toledo OH 43606-2945 | |
| (310) 981-3332 | |
| Not Available |
| Full Name | Empowered For Excellence, Empowering Youth, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3170 W Central Ave Ste G, Toledo, Ohio |
| Authorized Official Name and Position | Jonathan James (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3109813332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered For Excellence, Empowering Youth, Llc 3170 W Central Ave Ste G Toledo OH 43606-2945 Ph: (310) 981-3332 | Empowered For Excellence, Empowering Youth, Llc 3170 W Central Ave Ste G Toledo OH 43606-2945 Ph: (310) 981-3332 |
| NPI Number | 1407520497 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407520497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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