Power Up Youth Services
NPI #1164547592 in Rockingham, North Carolina
Provider Information
- NPI Number
- 1164547592
- Entity Type
- Organization
- Organization Name
- Power Up Youth Services
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 234 E FRANKLIN ST
- City
- Rockingham
- State
- North Carolina
- ZIP Code
- 28379-3627
- Phone
- (910) 997-6620
Authorized Official
- Name
- MR. ERIC MITCHELL
- Title
- CLINICAL DIRECTOR
- Phone
- (910) 997-6620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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