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
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