| NPI | 1558727024 |
|---|---|
| Other Name | RESTORED LIFE SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARY CAITLIN CONNER Clinical Director 479-219-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-28 |