MEDICARE: RESILIENCE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1740865146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENCE CENTER

Provider Business Mailing Address
First Line	:	3006 ALLEGRO PARK LN SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-4159
Country	:	US
Telephone Number	:	507-540-0894
Fax Number	:	507-281-6852

Provider Business Practice Location Address
First Line	:	3006 ALLEGRO PARK LN SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-4159
Country	:	US
Telephone Number	:	507-540-0894
Fax Number	:	507-281-6852

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MRS. ELIZABETH A SARKARIA
Credential	:
Telephone Number	:	507-540-0894

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	09/08/2022

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Directions to “RESILIENCE CENTER ” Practice Location

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