| NPI | 1992362412 |
|---|---|
| Doing Business As | THE RESTORE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN GROCE Nurse Practitioner 615-419-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-04-25 |