| NPI | 1972997310 |
|---|---|
| Doing Business As | 7TH & MADISON EXTENSIONS OF EMPOWERMENT |
| Entity Type | Organization |
| Authorized Contact | AMANDA WEISS Administrator 800-936-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2025-10-23 |