Organization
EMPOWERMENT FOR S.T.A.R.S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY MACHELLE WIGGINS (CEO)
(336) 669-6283
Entity
Organization
Contact information
Practice address
1146 N CHURCH ST, STE A, BURLINGTON, NC 27217-2702
(336) 669-6283
Mailing address
1146 N CHURCH ST, STE A, BURLINGTON, NC 27217-2702
(336) 669-6283
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
219293
NC
Other
Enumeration date
08/06/2009
Last updated
02/09/2010
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