Organization Name: | INFINITY EMPOWERMENT SERVICES |
NPI Number: | 1083831499 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN C WILEY (CEO) |
Mailing Address: | 215 Highland Ave Ste C Haddon Township |
State: | NJ US |
Postal Code: | 081082634 |
Phone Number: | 6093462409 |
Fax Number: | 6097479968 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05263500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |