Provider Demographics
NPI:1093943649
Name:COURAGE AND EMPOWERMENT CENTERS, INC.
Entity Type:Organization
Organization Name:COURAGE AND EMPOWERMENT CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, QP
Authorized Official - Phone:336-392-8270
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:ALTAMAHAW
Mailing Address - State:NC
Mailing Address - Zip Code:27202-0102
Mailing Address - Country:US
Mailing Address - Phone:336-392-8270
Mailing Address - Fax:336-464-2535
Practice Address - Street 1:1517 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5623
Practice Address - Country:US
Practice Address - Phone:336-392-8270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00011666251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable