Organization
EMPOWER THE NEW GENERATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONEDY LEDESMA (C0-CEO & FOUNDER)
(973) 418-1139
Entity
Organization
Contact information
Practice address
76 AYCRIGG AVE, PASSAIC, NJ 07055-5625
(973) 418-1139
Mailing address
158 MAIN AVE # 5328, PASSAIC, NJ 07055-5448
(973) 418-1139
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/21/2016
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