Organization
ELEVATING POTENIAL OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DENISE HOLBROOK (EXECUTIVE DIRECTOR)
(513) 532-6983
Entity
Organization
Contact information
Practice address
913 14TH AVE, MIDDLETOWN, OH 45044-5722
(513) 532-6983
(513) 424-6288
Mailing address
913 14TH AVE, MIDDLETOWN, OH 45044-5722
(513) 532-6983
(513) 424-6288
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
12/16/2024
Last updated
03/14/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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