Empowerment Through Adventure Llc in Westmont - Clinical
Empowerment Through Adventure Llc - NPI 1114041332
Empowerment Through Adventure Llc is a Clinical in Westmont, New Jersey. Empowerment Through Adventure Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Empowerment Through Adventure Llc is 1114041332. The last update date is 2008-04-23.
Empowerment Through Adventure Llc's current location address is 86 Elgin Avenue, Westmont, New Jersey. You can contact this provider via phone number 6098282110 and fax number 8568692830. The mailing address for Empowerment Through Adventure Llc is 86 Elgin Avenue, Westmont, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Empowerment Through Adventure Llc |
|---|---|
| Address | 86 Elgin Avenue, Westmont, New Jersey |
| Phone Number | 6098282110 |
| Fax Number | 8568692830 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wirth K Jennifer |
| Credentials | LCSW |
| Telephone Number | 6098282110 |
NPI Number Detail
| NPI Number | 1114041332 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 86 Elgin Avenue |
|---|---|
| City | Westmont |
| State | New Jersey (NJ) |
| Post Code | 8108 |
| Phone Number | 6098282110 |
| Fax Number | 8568692830 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05230400 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37494 | NJ | -- | |
| 30856 | NJ | -- | |
| 31101 | NJ | -- |
Post Comment/ Review Below
What is the Empowerment Through Adventure Llc's unique identification number?
The Empowerment Through Adventure Llc has been assigned the NPI (National Provider Identifier) Number 1114041332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Empowerment Through Adventure Llc?
The Empowerment Through Adventure Llc is situated at 86 Elgin Avenue, in the city of Westmont, state of NJ, with the zip code 8108.
What is Empowerment Through Adventure Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Empowerment Through Adventure Llc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114041332 to Empowerment Through Adventure Llc?
The Centers for Medicare & Medicaid Services originally issued the 1114041332 to Empowerment Through Adventure Llc on 2007-03-16.
As of what date was the information regarding Empowerment Through Adventure Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Empowerment Through Adventure Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-23.