| Empowering Lives Creating Possibilities Inc | |
|
3172 Ebbtide Dr Edgewood MD 21040-2921 | |
| (443) 876-4091 | |
| Not Available |
| Full Name | Empowering Lives Creating Possibilities Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3172 Ebbtide Dr, Edgewood, Maryland |
| Authorized Official Name and Position | Tyeisha C Jones (PRESIDENT, CEO) |
| Authorized Official Contact | 4438764091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Lives Creating Possibilities Inc 3172 Ebbtide Dr Edgewood MD 21040-2921 Ph: (443) 876-4091 | Empowering Lives Creating Possibilities Inc 3172 Ebbtide Dr Edgewood MD 21040-2921 Ph: (443) 876-4091 |
| NPI Number | 1932436722 |
|---|---|
| Provider Enumeration Date | 11/16/2009 |
| Last Update Date | 11/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932436722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |
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