| NPI | 1619422763 |
|---|---|
| Doing Business As | RESTORE HOPE LLC |
| Entity Type | Organization |
| Authorized Contact | JOSE JUAN DIAZ Medical Director 772-444-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-07-23 |