| NPI | 1255144861 | 
|---|---|
| Doing Business As | RESTORED PATH DETOX | 
| Entity Type | Organization | 
| Authorized Contact | HILARY HOLLINGSWORTH SOJOURNER Executive Director 817-721-2372 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | 
| Enumeration Date | 2025-01-28 | 
| Last Update Date | 2025-01-28 |