Empowered for Excellence Behavioral Health California LLC
Organization Active NPI Community/Behavioral Health Agency · View Park, CA
NPI 1104467158 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1104467158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- EMPOWERED FOR EXCELLENCE BEHAVIORAL HEALTH CALIFORNIA LLC
- Practice address
- 3701 Stocker St
View Park, CA 90008-5108 - Phone
- (419) 699-2859
- NPI assigned
- Oct 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Carl Frank Blazik
- Title
- Consultant
- Phone
- (419) 366-3974
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Empowered for Excellence Behavioral Health California LLC
Locations
3701 Stocker St
View Park, CA 90008
Phone (323) 295-3194
3170 W Central Ave
Ste D
Toledo, OH 43606
Phone 5673167253 ext. 9700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
3701 Stocker St
View Park, CA 90008-5108
Mailing address
3170 W Central Ave Ste D
Toledo, OH 43606-2945
Phone (567) 316-7231
Other practice location 1
3170 W Central Ave Ste D
Toledo, OH 43606-2945
Phone (567) 316-7253 ext. 9700
Other providers in View Park, CA
- Priscilla Doloksaribu
- Brittany Domingo
- Stephanie Nicole Dominguez
- Pamela Duckworth
- Randle Claude Ellington II
- Empowered for Excellence Behavioral Health California LLC
- Yamely Espinosa Salas
- Jodivon Lee Fairclough
- Yordanos Feleke
- Andrea Nicole Fennewald
All providers in View Park, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.