| Mpowering Kids Mentoring Llc | |
|
34 E Main St Martinsville VA 24112-2720 | |
| (276) 618-0759 | |
| (276) 638-2680 |
| Full Name | Mpowering Kids Mentoring Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 34 E Main St, Martinsville, Virginia |
| Authorized Official Name and Position | Vickie Adams (CEO) |
| Authorized Official Contact | 2766180759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpowering Kids Mentoring Llc Po Box 3229 34 E. Main Street Martinsville VA 24115-3229 Ph: (276) 634-0060 | Mpowering Kids Mentoring Llc 34 E Main St Martinsville VA 24112-2720 Ph: (276) 618-0759 |
| NPI Number | 1104063254 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 06/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104063254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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