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Organization

RESILIENT ROOTS THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE BOELLNER LISWS (OWNER)
(567) 343-0890
Entity
Organization

Contact information

Practice address
4434 SECOR RD STE 2, TOLEDO, OH 43623-4265
(567) 343-0890
(419) 318-3086
Mailing address
840 GIBSON DR, TOLEDO, OH 43612-3918
(567) 343-0890

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/12/2023
Last updated
04/02/2024
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