| Empower Sports Network. Inc | |
|
713 Greens Ave Apt 4 Long Branch NJ 07740-4924 | |
| (908) 902-1824 | |
| Not Available |
| Full Name | Empower Sports Network. Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 713 Greens Ave Apt 4, Long Branch, New Jersey |
| Authorized Official Name and Position | Samuel Paul Kiningham (FOUNDER & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9089021824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Sports Network. Inc Po Box 4 Oceanport NJ 07757-0004 Ph: (908) 902-1824 | Empower Sports Network. Inc 713 Greens Ave Apt 4 Long Branch NJ 07740-4924 Ph: (908) 902-1824 |
| NPI Number | 1972392470 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972392470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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