Empowered To Succed Inc | |
1920 Derita Rd Concord NC 28027-3355 | |
(704) 788-4511 | |
Not Available |
Full Name | Empowered To Succed Inc |
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Speciality | Community/behavioral Health |
Location | 1920 Derita Rd, Concord, North Carolina |
Authorized Official Name and Position | Detta Culp (OWNER) |
Authorized Official Contact | 7047884511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Empowered To Succed Inc 1920 Derita Rd Concord NC 28027-3355 Ph: (704) 788-4511 | Empowered To Succed Inc 1920 Derita Rd Concord NC 28027-3355 Ph: (704) 788-4511 |
NPI Number | 1053572065 |
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Provider Enumeration Date | 06/23/2008 |
Last Update Date | 06/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053572065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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