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Organization
EMPOWERED FAMILY THERAPY SERVICES
Active
Organization
EMPOWERED FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA NICHOLE CERRILLO (CEO)
(209) 416-4866
Entity
Organization
Contact information
Practice address
121 W MAIN ST STE G, TURLOCK, CA 95380-4845
(209) 416-4866
Mailing address
121 W MAIN ST STE G, TURLOCK, CA 95380-4845
(209) 416-4866
(209) 301-7817
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/16/2023
Last updated
10/12/2023
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