Provider Demographics
NPI:1073306270
Name:EMPOWERMENT DESS PERKINS FOUNDATION
Entity type:Organization
Organization Name:EMPOWERMENT DESS PERKINS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO /FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ODESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-472-6047
Mailing Address - Street 1:4900 CALIFORNIA AVE STE 210B
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7080
Mailing Address - Country:US
Mailing Address - Phone:661-472-6047
Mailing Address - Fax:
Practice Address - Street 1:2601 ASHE RD APT 19
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-8009
Practice Address - Country:US
Practice Address - Phone:661-472-6047
Practice Address - Fax:661-472-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management