| Resilience Lab | |
|
928 Broadway Ste 500 New York NY 10010-8148 | |
| (833) 775-6252 | |
| Not Available |
| Full Name | Resilience Lab |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 928 Broadway Ste 500, New York, New York |
| Authorized Official Name and Position | Christine Carville (CEO) |
| Authorized Official Contact | 9176743421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Lab 928 Broadway Ste 500 New York NY 10010-8148 Ph: (833) 775-6252 | Resilience Lab 928 Broadway Ste 500 New York NY 10010-8148 Ph: (833) 775-6252 |
| NPI Number | 1003459694 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003459694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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