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Organization

EMPOWER AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENITRA D CORBY-SHIELDS MSW (ADMINISTRATIVE DIRECTOR)
(919) 636-5790
Entity
Organization

Contact information

Practice address
121 S. ESTES DR, STE 104, CHAPEL HILL, NC 27514-2868
(919) 636-5790
(919) 636-5780
Mailing address
P.O. BOX 164, CHAPEL HILL, NC 27514-0164
(919) 636-5790
(919) 636-5780

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8301956
NC
Enumeration date
04/12/2007
Last updated
12/26/2008
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