| NPI | 1801166103 |
|---|---|
| Other Name | RESTART INTERNET ADDICTION RECOVERY |
| Entity Type | Organization |
| Authorized Contact | COSETTE DAWNA RAE CEO 800-682-6934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60152285) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2025-06-25 |