NPI 1164547592

Power Up Youth Services

Organisation Preferred Provider Organization Rockingham, NC

Practice location

Address: 234 E Franklin St, Rockingham, NC 28379-3627
Phone: (910) 997-6620

Authorised official

Name: Eric Mitchell
Title: Clinical Director
Phone: (910) 997-6620

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in North Carolina →

Registry record

NPI: 1164547592
Entity type: Organization
NPI issued: 21 Mar 2007
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.