Organization
EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC
Active
Parent organization
EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC
Authorized official
MR. JONATHAN JAMES (CHIEF OPERATING OFFICER)
(310) 981-3332
Entity
Organization
Contact information
Practice address
3170 W CENTRAL AVE STE G, TOLEDO, OH 43606-2945
(310) 981-3332
Mailing address
3170 W CENTRAL AVE STE G, TOLEDO, OH 43606-2945
(310) 981-3332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/12/2021
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