| Empower Beyond Limits Llc | |
|
28 Valley Rd Ste 1 Montclair NJ 07042-2709 | |
| (862) 321-4000 | |
| (973) 843-1247 |
| Full Name | Empower Beyond Limits Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28 Valley Rd Ste 1, Montclair, New Jersey |
| Authorized Official Name and Position | Tasha Kabore (CEO) |
| Authorized Official Contact | 8622027640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Beyond Limits Llc 28 Valley Rd Ste 1 Montclair NJ 07042-2709 Ph: (862) 321-4000 | Empower Beyond Limits Llc 28 Valley Rd Ste 1 Montclair NJ 07042-2709 Ph: (862) 321-4000 |
| NPI Number | 1124880984 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124880984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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