| Empowering Youth Inc | |
|
530 Nw 183rd St Miami Gardens FL 33169-4468 | |
| (305) 654-7251 | |
| (305) 647-0203 |
| Full Name | Empowering Youth Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 530 Nw 183rd St, Miami Gardens, Florida |
| Authorized Official Name and Position | Amanda Wanza (PROVIDER/PRESIDENT) |
| Authorized Official Contact | 3056547251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Youth Inc 1031 Ives Dairy Rd Ste 228 Miami Gardens FL 33179-2538 Ph: (305) 654-7251 | Empowering Youth Inc 530 Nw 183rd St Miami Gardens FL 33169-4468 Ph: (305) 654-7251 |
| NPI Number | 1750803144 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750803144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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