Provider Demographics
NPI:1679829014
Name:EMPOWERMENT & RECOVERY SERVICES,INC.
Entity Type:Organization
Organization Name:EMPOWERMENT & RECOVERY SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FOXWORTH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:252-522-4676
Mailing Address - Street 1:327 N QUEEN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-4984
Mailing Address - Country:US
Mailing Address - Phone:252-522-4676
Mailing Address - Fax:252-523-1685
Practice Address - Street 1:327 N QUEEN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4984
Practice Address - Country:US
Practice Address - Phone:252-522-4676
Practice Address - Fax:252-523-1685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty