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Organization
EMPOWERMENT TO SAVE OUR CHILDREN FROM ADDICTION PROVERTY AND THEIR ENV
Active
Organization
EMPOWERMENT TO SAVE OUR CHILDREN FROM ADDICTION PROVERTY AND THEIR ENV
Active
Other names
ESCAPE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER M HENDERSON BACHELOR OF ARTS (CHEIF EXECUTIVE OFFICER)
(901) 736-8165
Entity
Organization
Contact information
Practice address
3476 SUMMER AVE, MEMPHIS, TN 38122-3610
(901) 736-8165
Mailing address
6878 MIKAYLA LN, CORDOVA, TN 38018-7921
(901) 736-8165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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