| Family Restoration Center, Llc | |
|
8089 Highway 72 W Ste D Madison AL 35758-9531 | |
| (256) 612-8355 | |
| Not Available |
| Full Name | Family Restoration Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8089 Highway 72 W Ste D, Madison, Alabama |
| Authorized Official Name and Position | Tia Harden (OWNER) |
| Authorized Official Contact | 2566128355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Restoration Center, Llc 8089 Highway 72 W Ste D Madison AL 35758-9531 Ph: (256) 612-8355 | Family Restoration Center, Llc 8089 Highway 72 W Ste D Madison AL 35758-9531 Ph: (256) 612-8355 |
| NPI Number | 1932842994 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932842994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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