NPI | 1811636467 |
---|---|
Doing Business As | EMPOWERED LIVING SERVICES |
Entity Type | Organization |
Authorized Contact | NAJMAH CLARKE Owner 757-310-9530 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-02-26 |