NPI | 1013652361 |
---|---|
Doing Business As | EMPOWERING TO ELEVATE |
Entity Type | Organization |
Authorized Contact | ZACHARY LOGAN CEO 937-248-1264 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-05-02 |
Last Update Date | 2022-07-29 |