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General NPI Number Information
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NPI Number | 1912416504
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Entity Type | Organization
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Legal Business Name | RESILIENT CARE CENTER INC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 09/26/2017
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Provider Practice Location Address
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Address Line | 24237 MAIN ST
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City | NEWHALL
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State | CA
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Zip | 91321
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Country | US
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Telephone | 888-705-0053
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Fax |
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Provider Business Mailing Address
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Address Line | 19330 MORIAH LN
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City | SANTA CLARITA
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State | CA
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Zip | 91350
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Country | US
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Telephone | 661-210-9375
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MUSABBIR CHOWDHURY
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Credential |
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Telephone | 661-210-9375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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