Organization
EMPOWERED MEN BUILT TO WIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY LEE TOWNSEND JR. (EXECUTIVE DIRECTOR/FOUNDER)
(209) 740-6445
Entity
Organization
Contact information
Practice address
1700 WHIRLAWAY LN, TRACY, CA 95377-8353
(209) 740-6445
Mailing address
1700 WHIRLAWAY LN, TRACY, CA 95377-8353
(209) 740-6445
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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