| NPI | 1114810397 |
|---|---|
| Former Legal Business Name | EMPOWERED DEVELOPMENT LLC |
| Entity Type | Organization |
| Authorized Contact | CARLOS MARRERO Owner 475-400-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |