Organization
EMPOWER RESIDENTIAL WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON BREWER (DIRECTOR)
(618) 803-8816
Entity
Organization
Contact information
Practice address
22119 BASSETT ST, CANOGA PARK, CA 91303-2305
(618) 803-8816
(949) 281-7676
Mailing address
559 CHAPARRAL CT, ALTADENA, CA 91001-3859
(618) 803-8816
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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