Provider Demographics
NPI:1164393385
Name:EMPOWERMENT RESURRECTION CENTER (MENTAL HEALTH)
Entity type:Organization
Organization Name:EMPOWERMENT RESURRECTION CENTER (MENTAL HEALTH)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
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:352-269-6130
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:352-269-6130
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE EMPOWERMENT RESURRECTION CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty