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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