Organization
EMPOWERMENT PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN DENISE JACKSON (EXECUTIVE DIRECTOR)
(910) 793-2819
Entity
Organization
Contact information
Practice address
610 VARSITY DR, WILMINGTON, NC 28403-8444
(910) 793-2819
Mailing address
610 VARSITY DR, WILMINGTON, NC 28403-8444
(910) 793-2819
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
12/03/2009
Last updated
12/22/2009
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