Organization
THE RESILIENCY INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DOMENIC CAPACHIONE SR. LPC (CEO/OWNER)
(912) 429-2596
Entity
Organization
Contact information
Practice address
706 G ST, SUITE 101, BRUNSWICK, GA 31520-6749
(912) 450-9700
Mailing address
4 SHACKLEFORD CV, POOLER, GA 31322-9729
(912) 450-9700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004074
GA
Other
Enumeration date
05/25/2013
Last updated
05/25/2013
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