Organization
EMPRESS 2 INSPIRE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FAITH TEMPLE CFLE (CEO/OWNER)
(567) 343-2661
Entity
Organization
Contact information
Practice address
3104 CARSKADDON AVE APT 304, TOLEDO, OH 43606-1615
(419) 901-1056
Mailing address
3104 CARSKADDON AVE APT 304, TOLEDO, OH 43606-1615
(419) 901-1056
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/17/2018
Last updated
03/17/2018
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