Organization
ADVANCE EMPOWERMENT COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETTICE ANNETTE MIDGETTE (EXECUTIVE DIRECTOR)
(919) 434-4735
Entity
Organization
Contact information
Practice address
5870 FARINGDON PL, RALEIGH, NC 27609-3931
(919) 873-2490
(919) 872-4835
Mailing address
5870 FARINGDON PL, RALEIGH, NC 27609-3931
(919) 873-2490
(919) 872-4835
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
53062926472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008414
—
NC
Enumeration date
03/21/2011
Last updated
05/20/2015
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