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 |