| Resilient Health And Trauma Center Pllc | |
|
125 Main St Ste 206 Williston ND 58801-6030 | |
| (208) 403-2892 | |
| Not Available |
| Full Name | Resilient Health And Trauma Center Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 125 Main St Ste 206, Williston, North Dakota |
| Authorized Official Name and Position | Cordie Licciardi (OFFICE MANAGER) |
| Authorized Official Contact | 7015804091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Health And Trauma Center Pllc 13351 Yellowstone Meadow St Williston ND 58801-9110 Ph: (208) 403-2892 | Resilient Health And Trauma Center Pllc 125 Main St Ste 206 Williston ND 58801-6030 Ph: (208) 403-2892 |
| NPI Number | 1457189037 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457189037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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