| Restor8tion | |
|
3631 Perkins Ave Cleveland OH 44114-4705 | |
| (216) 849-3390 | |
| Not Available |
| Full Name | Restor8tion |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3631 Perkins Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Ardelle Michelle Moore (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2168493390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restor8tion 815 Frost Rd Apt 1001 Streetsboro OH 44241-4735 Ph: (216) 849-3390 | Restor8tion 3631 Perkins Ave Cleveland OH 44114-4705 Ph: (216) 849-3390 |
| NPI Number | 1477110831 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477110831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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