Organization
EMPOWER PATH SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBAMBO C OGUNNUPE LPN (CEO)
(202) 486-1744
Entity
Organization
Contact information
Practice address
107 WALNUT LN, ELKTON, MD 21921-5001
(443) 355-7517
Mailing address
9324 MULLIGAN WAY, DELMAR, MD 21875-2668
(202) 276-9353
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/31/2025
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