| NPI | 1346431335 |
|---|---|
| Doing Business As | RESTORATION HOUSE |
| Entity Type | Organization |
| Authorized Contact | MARYDORA CONLEY Clinical Partner 502-618-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1966) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0575) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2009-12-23 |