| NPI | 1982351839 |
|---|---|
| Doing Business As | RESILIENCE LAB |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CARVILLE Secretary 833-775-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-05-08 |