| Youth Empowerment Zone Llc | |
|
1601 N 2nd St Suite B Millville NJ 08332-1924 | |
| (856) 776-2200 | |
| (856) 776-2209 |
| Full Name | Youth Empowerment Zone Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1601 N 2nd St, Millville, New Jersey |
| Authorized Official Name and Position | Peggy Ann Holmes (PRESIDENT) |
| Authorized Official Contact | 8567762200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Empowerment Zone Llc 1601 N 2nd St Suite B Millville NJ 08332-1924 Ph: (856) 776-2200 | Youth Empowerment Zone Llc 1601 N 2nd St Suite B Millville NJ 08332-1924 Ph: (856) 776-2200 |
| NPI Number | 1154486900 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154486900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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