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Organization

RESILIENT HEALTH, INC.

Active
Other names
Resilient Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY VILLANO (CEO PRESIDENT)
(602) 995-1767
Entity
Organization

Contact information

Practice address
1014 N 2ND ST, PHOENIX, AZ 85004-1969
(602) 340-1675
(602) 340-1697
Mailing address
2255 W NORTHERN AVE, SUITE B-100, PHOENIX, AZ 85021-4936
(602) 995-1767
(602) 995-1863

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
BH-2667
AZ
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009563
AHCCCS
AZ
Enumeration date
05/09/2007
Last updated
11/20/2024
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