Provider Demographics
NPI:1386941664
Name:EMPOWERMENT ENTERPRISES
Entity type:Organization
Organization Name:EMPOWERMENT ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:COMSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-621-8048
Mailing Address - Street 1:PO BOX 634
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04332-0634
Mailing Address - Country:US
Mailing Address - Phone:207-621-8048
Mailing Address - Fax:207-621-8048
Practice Address - Street 1:74 WINTHROP ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5544
Practice Address - Country:US
Practice Address - Phone:207-621-8048
Practice Address - Fax:207-621-8048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1753101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty