| NPI | 1649709601 |
|---|---|
| Doing Business As | RESTORATION |
| Entity Type | Organization |
| Authorized Contact | LEE LONG CEO 469-878-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 19393) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-07-21 |