| Restoration By Design | |
|
1421 Broadway St N Suite 112b Menomonie WI 54751-4728 | |
| (715) 235-5557 | |
| (715) 235-5559 |
| Full Name | Restoration By Design |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1421 Broadway St N, Menomonie, Wisconsin |
| Authorized Official Name and Position | Robin Allen Williams (LICENSED PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 7152355557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration By Design 1421 Broadway St N Suite 112b Menomonie WI 54751-4728 Ph: (715) 235-5557 | Restoration By Design 1421 Broadway St N Suite 112b Menomonie WI 54751-4728 Ph: (715) 235-5557 |
| NPI Number | 1083910129 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083910129 | NPI | - | NPPES |
| 8JWS5CSVP | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 104100000X (Wisconsin) | Primary |
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