NPI | 1932714581 |
---|---|
Doing Business As | RESTORATION HOME RTH |
Entity Type | Organization |
Authorized Contact | LARRY MICHAEL MCPHEE Owner 458-225-9358 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2020-09-10 |
Last Update Date | 2024-12-16 |