Organization
EMPOWER HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA ABDALLAH (SOLE MBR)
(602) 460-1449
Entity
Organization
Contact information
Practice address
2413 W FETLOCK TRL, PHOENIX, AZ 85085-5770
(602) 460-1449
Mailing address
2413 W FETLOCK TRL, PHOENIX, AZ 85085-5770
(602) 460-1449
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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