Empowered To Succed Inc

NPI 1053572065 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1053572065
Enumeration Date 06/23/2008
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DETTA DETTA
Position OWNER
Phone (704) 788-4511
Fax
Practice Location
1920 DERITA RD
CONCORD NC, 28027-3355, US
Phone (704) 788-4511
Fax
Business Location
1920 DERITA RD
CONCORD NC, 28027-3355, US
Phone (704) 788-4511
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Empowered To Succed Inc NPI is 1053572065, taxonomy code is 251S00000X Empowered To Succed Inc physically located at 1920 Derita Rd, Concord NC, 28027-3355. NPI Number 1033115704 has the healthcare provider type.

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1053572065 NPI number is provided on an as is basis without warranty of any kind. 1053572065 is maintained by the National Plan & Provider Enumeration System. The contents of Empowered To Succed Inc are for informational purposes only.