NPI | 1194234716 |
---|---|
Doing Business As | NEW AMERICAN EMPOWERMENT |
Entity Type | Organization |
Authorized Contact | KHADIJO I ABDULKADIR Sole Owner 315-664-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2017-09-26 |
Last Update Date | 2022-07-21 |