| NPI | 1619225232 |
|---|---|
| Doing Business As | EMPOWER MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | GENESSA L ANTONIEWICZ Clinical Director 612-327-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-12-22 |