| NPI | 1396303616 |
|---|---|
| Doing Business As | RESTORATION 1:99 |
| Entity Type | Organization |
| Authorized Contact | CANDACE L. WHEELER Executive Dir 202-213-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2019-06-01 |