Organization
EMPOWERED FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLIN BLUM LISW-CP, BCBA (EXECUTIVE DIRECTOR)
(520) 256-4951
Entity
Organization
Contact information
Practice address
1362 SASSAFRASS CIR, MOUNT PLEASANT, SC 29466-8077
(520) 256-4951
Mailing address
1362 SASSAFRASS CIR, MOUNT PLEASANT, SC 29466-8077
(520) 256-4951
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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