NPI | 1710793609 |
---|---|
Doing Business As | RESTORALIFE WELLNESS |
Entity Type | Organization |
Authorized Contact | MARCUS RAMEY Owner 909-992-6315 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 251X00000X |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-12-05 |
Last Update Date | 2024-12-05 |