| Restoration Behavioral Health Center, Inc. | |
|
1235 Sampson Street Des Moines IA 50316 | |
| (515) 339-9016 | |
| (515) 266-6029 |
| Full Name | Restoration Behavioral Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1235 Sampson Street, Des Moines, Iowa |
| Authorized Official Name and Position | Jacquelyn Juanita Seymour (BOARD MEMBER) |
| Authorized Official Contact | 5153399016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Behavioral Health Center, Inc. Po Box 836 Des Moines IA 50304-0836 Ph: (515) 339-9016 | Restoration Behavioral Health Center, Inc. 1235 Sampson Street Des Moines IA 50316 Ph: (515) 339-9016 |
| NPI Number | 1124626320 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124626320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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