Organization
IMPOWER
Active
Other names
Impower
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA MELISSA RIVERA (TARGETED CASE MNANAGER)
(203) 556-6076
Entity
Organization
Contact information
Practice address
222 BROADWAY, 211, KISSIMMEE, FL 34741-5781
(407) 931-2911
Mailing address
222 BROADWAY, 211, KISSIMMEE, FL 34741-5781
(407) 931-2911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
FL
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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