| NPI | 1104523968 |
|---|---|
| Doing Business As | RESTORE BEHAVIORAL SERVICES LLC. |
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE WASHINGTON-SMITH CEO/Owner 757-509-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-09-19 |