Provider Demographics
NPI:1962238584
Name:WOMENS OPPORTUNITY MENTORSHIP EMPOWERMENT NETWORK
Entity type:Organization
Organization Name:WOMENS OPPORTUNITY MENTORSHIP EMPOWERMENT NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF STRATEGY AND INNOVATION
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-410-4625
Mailing Address - Street 1:2334 MANCHESTER CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-1528
Mailing Address - Country:US
Mailing Address - Phone:415-410-4625
Mailing Address - Fax:
Practice Address - Street 1:2334 MANCHESTER CROSSING DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-1528
Practice Address - Country:US
Practice Address - Phone:415-410-4625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management