Organization
EMPIRE WASHITAW DE DUGDAHMOUNDYAH NATION OF MUURS
Active
Parent organization
POWHATAN INDIANS OF THE DELEWARE VALLEY
Other names
Pamunkey Nation Indian Tribe
Organization subpart
Yes
Provider details
NPI number
Legal business name
POWHATAN INDIANS OF THE DELEWARE VALLEY
Authorized official
EMPEROR EL BEY BAGBY BIGBAY PAMUNKEY TRIBAL PHD ,AHI PAA, (CROWN PRINCE /CHIEF)
(609) 880-5322
Entity
Organization
Contact information
Practice address
106 ASSUNPINK VILLAGE, MILLHAM TOWNSHIP, TRENTON, NJ 08609
(804) 496-1597
Mailing address
EMBASSY OF THE EMPIRE WASHITAW DE DUGDAHMOUNDYAH 215 93, PALIS 1211, GENEVA, GENEVA 10
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
293D00000X
Physiological Laboratory
—
—
302R00000X
Health Maintenance Organization
26NH14573800
NJ
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
455788656
KEMETIC SEBA CONSULTANT
HI
Enumeration date
11/27/2013
Last updated
05/05/2016
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