Provider Demographics
NPI:1952834913
Name:HUMAN EMPOWERMENT INSTITUTE LLC
Entity Type:Organization
Organization Name:HUMAN EMPOWERMENT INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:YEADON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, CIA
Authorized Official - Phone:973-650-2959
Mailing Address - Street 1:49 NESBIT TER
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-2313
Mailing Address - Country:US
Mailing Address - Phone:973-351-9111
Mailing Address - Fax:973-351-9112
Practice Address - Street 1:49 NESBIT TER
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-2313
Practice Address - Country:US
Practice Address - Phone:973-351-9111
Practice Address - Fax:973-351-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000583261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder