Provider Demographics
NPI:1477052447
Name:BOWCOR INC
Entity Type:Organization
Organization Name:BOWCOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-493-0688
Mailing Address - Street 1:401 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4907
Mailing Address - Country:US
Mailing Address - Phone:661-493-0688
Mailing Address - Fax:661-493-0699
Practice Address - Street 1:2619 F ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1815
Practice Address - Country:US
Practice Address - Phone:661-493-0688
Practice Address - Fax:661-493-0688
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOWCOR INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-06
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health