Provider Demographics
NPI:1639720444
Name:RESILIENCE BEHAVIORAL HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:RESILIENCE BEHAVIORAL HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTJOY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:520-334-5122
Mailing Address - Street 1:1624 W CHIMAYO PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-2181
Mailing Address - Country:US
Mailing Address - Phone:864-905-2477
Mailing Address - Fax:
Practice Address - Street 1:6700 N ORACLE RD STE 326
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7739
Practice Address - Country:US
Practice Address - Phone:520-334-5122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty