NPI | 1801256458 |
---|---|
Doing Business As | RESTORE MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JAMIE WALLER Administrator 256-312-8988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-02-24 |
Last Update Date | 2016-02-26 |