Provider Demographics
NPI:1427419035
Name:POWERHOUSE UNLIMITED
Entity Type:Organization
Organization Name:POWERHOUSE UNLIMITED
Other - Org Name:ADVOCATE ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHINE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:240-455-2085
Mailing Address - Street 1:418 N 25TH ST
Mailing Address - Street 2:APT 260
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223
Mailing Address - Country:US
Mailing Address - Phone:240-455-2085
Mailing Address - Fax:
Practice Address - Street 1:418 N 25TH ST
Practice Address - Street 2:APT 260
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7564
Practice Address - Country:US
Practice Address - Phone:240-455-2085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children