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Organization
RESILIENT HEALTH AND TRAUMA CENTER PLLC
Active
Organization
RESILIENT HEALTH AND TRAUMA CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDIE LICCIARDI (OFFICE MANAGER)
(701) 580-4091
Entity
Organization
Contact information
Practice address
125 MAIN ST STE 206, WILLISTON, ND 58801-6030
(208) 403-2892
Mailing address
13351 YELLOWSTONE MEADOW ST, WILLISTON, ND 58801-9110
(208) 403-2892
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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