Organization
EMPOWERED FAITH BOARDING HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW E BLACK JR. (CHIEF EXECUTIVE OFFICER)
(972) 603-8119
Entity
Organization
Contact information
Practice address
3100 DEER RUN DR, LITTLE ELM, TX 75068-6626
(972) 603-8119
Mailing address
PO BOX 5473, FRISCO, TX 75035-0214
(972) 603-8119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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