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Organization

EMPOWERMENT ARIZONA LLC

Active
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Organization

EMPOWERMENT ARIZONA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY EVANS (MANAGER)
(602) 524-5521
Entity
Organization

Contact information

Practice address
5501 N 19TH AVE STE 430, PHOENIX, AZ 85015-2481
(602) 524-5521
Mailing address
5501 N 19TH AVE STE 430, PHOENIX, AZ 85015-2481

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)

Other

Enumeration date
10/21/2024
Last updated
10/21/2024
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