Healthcare Provider Details

I. General information

NPI: 1265263446
Provider Name (Legal Business Name): PSYCHIATRIC RESILIENCE AND WELLNESS COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 EXPO PKWY
SACRAMENTO CA
95815-4230
US

IV. Provider business mailing address

1400 EXPO PKWY
SACRAMENTO CA
95815-4230
US

V. Phone/Fax

Practice location:
  • Phone: 203-873-8591
  • Fax:
Mailing address:
  • Phone: 203-873-8591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ASHHAR BHURGRI
Title or Position: PRESEIDENT
Credential: MD
Phone: 203-873-8591