Organization
MPOWERING KIDS MENTORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE ADAMS (CEO)
(276) 618-0759
Entity
Organization
Contact information
Practice address
34 E MAIN ST, MARTINSVILLE, VA 24112-2720
(276) 618-0759
(276) 638-2680
Mailing address
PO BOX 3229, 34 E. MAIN STREET, MARTINSVILLE, VA 24115-3229
(276) 634-0060
(276) 632-2280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/12/2009
Last updated
06/24/2010
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