Provider Demographics
NPI:1174959225
Name:RESILIENT HEALTH AND PRODUCTIVITY, LLC
Entity type:Organization
Organization Name:RESILIENT HEALTH AND PRODUCTIVITY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-600-0383
Mailing Address - Street 1:7 W MAIN ST
Mailing Address - Street 2:SUITE 207-5
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4695
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7 W MAIN ST
Practice Address - Street 2:SUITE 207-5
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4695
Practice Address - Country:US
Practice Address - Phone:406-600-0383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health