Provider Demographics
NPI:1548472509
Name:FAMILY EMPOWERMENT
Entity type:Organization
Organization Name:FAMILY EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-349-2655
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28563-0425
Mailing Address - Country:US
Mailing Address - Phone:252-636-0400
Mailing Address - Fax:252-514-0140
Practice Address - Street 1:2619 TRENT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2025
Practice Address - Country:US
Practice Address - Phone:252-636-9655
Practice Address - Fax:252-514-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management