| Restoration Psychiatry Pllc | |
|
2042 Wooddale Dr Woodbury MN 55125-2981 | |
| (651) 758-1899 | |
| Not Available |
| Full Name | Restoration Psychiatry Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2042 Wooddale Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Akinbowale Ayeni (CEO) |
| Authorized Official Contact | 6517345884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Psychiatry Pllc 4548 Bailey Lake Dr Woodbury MN 55129-5508 Ph: (651) 734-5884 | Restoration Psychiatry Pllc 2042 Wooddale Dr Woodbury MN 55125-2981 Ph: (651) 758-1899 |
| NPI Number | 1760226930 |
|---|---|
| Provider Enumeration Date | 06/22/2024 |
| Last Update Date | 06/22/2024 |
| Certification Date | 06/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760226930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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