| Empowering To Elevate | |
|
31 S Main St Dayton OH 45402-2070 | |
| (937) 248-1264 | |
| (937) 315-6121 |
| Full Name | Empowering To Elevate |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 31 S Main St, Dayton, Ohio |
| Authorized Official Name and Position | Zachary Logan (CEO) |
| Authorized Official Contact | 9372481264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering To Elevate 31 S Main St Ste 240 Dayton OH 45402-2070 Ph: (937) 248-1264 | Empowering To Elevate 31 S Main St Dayton OH 45402-2070 Ph: (937) 248-1264 |
| NPI Number | 1013652361 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013652361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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