| NPI | 1093576662 |
|---|---|
| Doing Business As | EMPOWER POTENTIAL |
| Entity Type | Organization |
| Authorized Contact | ERIK CISNEY Owner 217-649-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |