Provider Demographics
NPI:1861569048
Name:POSITIVE OPPORTUNITIES FOR WOMEN ENGAGED IN RECOVERY (POWER)
Entity type:Organization
Organization Name:POSITIVE OPPORTUNITIES FOR WOMEN ENGAGED IN RECOVERY (POWER)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLYE
Authorized Official - Middle Name:LERENE
Authorized Official - Last Name:SLEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-847-3190
Mailing Address - Street 1:PO BOX 742032
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92174-2032
Mailing Address - Country:US
Mailing Address - Phone:619-368-8689
Mailing Address - Fax:619-479-0915
Practice Address - Street 1:177 ARROWWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-7324
Practice Address - Country:US
Practice Address - Phone:619-368-8689
Practice Address - Fax:619-479-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health