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Organization

HOUSE OF PURPOSE & EMPOWERMENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OTIS JEROME WASHINGTON LCSW (PRESIDENT)
(256) 630-0156
Entity
Organization

Contact information

Practice address
1602 FOREST AVE NW, FORT PAYNE, AL 35967-3324
(256) 630-0156
(256) 638-1854
Mailing address
1602 FOREST AVE NW, FORT PAYNE, AL 35967-3324
(256) 630-0156
(256) 638-1854

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3685C
AL

Other

Enumeration date
12/23/2014
Last updated
12/23/2014
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