Organization
EMPOWER YOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET MAE PRUETT-SARATAN MA, LPC, CCDPD (PRESIDENT/LEAD COUNSELOR)
(610) 742-7782
Entity
Organization
Contact information
Practice address
210 W FRONT ST, MEDIA, PA 19063-3101
(610) 565-4360
(610) 565-3076
Mailing address
210 W FRONT ST, MEDIA, PA 19063-3101
(610) 565-4360
(610) 565-3076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC004594
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020417300001
—
PA
01
—
11767954
CAQH
—
Enumeration date
05/05/2009
Last updated
12/01/2009
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