Organization
RESILIA NEUROTHERAPY SERVICES, LLC
Active
Parent organization
RESILIA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESILIA, LLC
Authorized official
MS. MICHAELE DAWN JOHNSON LCSW, MBA (EXECUTIVE DIRECTOR)
(970) 350-0135
Entity
Organization
Contact information
Practice address
503 REMINGTON ST STE 104, FORT COLLINS, CO 80524-3089
(970) 530-0135
(970) 315-0386
Mailing address
503 REMINGTON ST STE 104, FORT COLLINS, CO 80524-3089
(970) 530-0135
(970) 315-0386
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
22494
CO
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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