Provider Demographics
NPI:1427100783
Name:CHRISTIAN CENTERED EMPOWERMENT, INC.
Entity type:Organization
Organization Name:CHRISTIAN CENTERED EMPOWERMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDERCEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:N
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-795-8974
Mailing Address - Street 1:PO BOX 370080
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30037-0080
Mailing Address - Country:US
Mailing Address - Phone:404-472-7318
Mailing Address - Fax:404-795-8974
Practice Address - Street 1:2745 MOUNT ZION RD
Practice Address - Street 2:102
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-6890
Practice Address - Country:US
Practice Address - Phone:404-472-7318
Practice Address - Fax:404-795-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty