Provider Demographics
NPI:1043997554
Name:CENTER FOR RESILIENCE INC
Entity Type:Organization
Organization Name:CENTER FOR RESILIENCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DUPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-241-4529
Mailing Address - Street 1:1035 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5913
Mailing Address - Country:US
Mailing Address - Phone:504-301-2524
Mailing Address - Fax:504-301-0836
Practice Address - Street 1:1035 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5913
Practice Address - Country:US
Practice Address - Phone:504-301-2524
Practice Address - Fax:504-301-0836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3329816Medicaid