Provider Demographics
NPI:1689904765
Name:UNITED EMPOWERMENT ECONOMIC DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:UNITED EMPOWERMENT ECONOMIC DEVELOPMENT CENTER
Other - Org Name:UEEDC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPANN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:773-678-1744
Mailing Address - Street 1:2205 AVENUE G . ENSLEY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35218
Mailing Address - Country:US
Mailing Address - Phone:205-202-4005
Mailing Address - Fax:205-202-4080
Practice Address - Street 1:2205 AVENUE G
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35218-1705
Practice Address - Country:US
Practice Address - Phone:205-202-4005
Practice Address - Fax:205-202-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20193251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health