Provider Demographics
NPI:1730449398
Name:FUTURE EMPOWERMENT
Entity type:Organization
Organization Name:FUTURE EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAEMONA
Authorized Official - Middle Name:MCCRAY
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-505-2347
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:ROPER
Mailing Address - State:NC
Mailing Address - Zip Code:27970-0035
Mailing Address - Country:US
Mailing Address - Phone:252-505-2347
Mailing Address - Fax:
Practice Address - Street 1:117 W WATER ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-1305
Practice Address - Country:US
Practice Address - Phone:252-505-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health