Provider Demographics
NPI:1952058679
Name:CENTER FOR RESILIENCY, LLC
Entity Type:Organization
Organization Name:CENTER FOR RESILIENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:CHU-PERALTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-661-3375
Mailing Address - Street 1:210 SUMMIT AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1526
Mailing Address - Country:US
Mailing Address - Phone:201-661-3375
Mailing Address - Fax:
Practice Address - Street 1:210 SUMMIT AVE STE B2
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1526
Practice Address - Country:US
Practice Address - Phone:201-661-3375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)