Provider Demographics
NPI:1114600053
Name:RESILIENCE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:RESILIENCE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP, CRNP, PMHNP-BC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIJIOKE
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-577-4034
Mailing Address - Street 1:5 PROSPECT DR
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8975
Mailing Address - Country:US
Mailing Address - Phone:484-336-5686
Mailing Address - Fax:
Practice Address - Street 1:2211 QUARRY DR STE E58A
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1170
Practice Address - Country:US
Practice Address - Phone:484-577-4034
Practice Address - Fax:484-709-2076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)