Provider Demographics
NPI:1699046839
Name:THE EMPOWERMENT RESURRECTION CENTER
Entity type:Organization
Organization Name:THE EMPOWERMENT RESURRECTION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRTECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-986-6162
Mailing Address - Street 1:419 AVENUE OF THE STATES STE 405
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-4411
Mailing Address - Country:US
Mailing Address - Phone:610-986-6162
Mailing Address - Fax:
Practice Address - Street 1:419 AVENUE OF THE STATES STE 405
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4411
Practice Address - Country:US
Practice Address - Phone:610-986-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA237090251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health