| NPI | 1134760598 |
|---|---|
| Former Legal Business Name | EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH CALIFORNIA LLC |
| Entity Type | Organization |
| Authorized Contact | CARL FRANK BLAZIK Consultant 419-366-3974 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2021-06-14 |