| NPI | 1326472135 | 
|---|---|
| Doing Business As | IMPOWER | 
| Entity Type | Organization | 
| Authorized Contact | CYNTHIA MELISSA RIVERA Targeted Case Mnanager 203-556-6076  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 251s00000X)  | 
| Enumeration Date | 2013-08-28 | 
| Last Update Date | 2013-08-28 |