| Restorative Hope Sanctuary | |
|
179 Gann Branch Rd Killeen TX 76549-3862 | |
| (254) 987-0405 | |
| Not Available |
| Full Name | Restorative Hope Sanctuary |
|---|---|
| Speciality | Counselor - Professional |
| Location | 179 Gann Branch Rd, Killeen, Texas |
| Authorized Official Name and Position | Jo Newton (OWNER) |
| Authorized Official Contact | 2549870405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Hope Sanctuary 179 Gann Branch Rd Killeen TX 76549-3862 Ph: (254) 987-0405 | Restorative Hope Sanctuary 179 Gann Branch Rd Killeen TX 76549-3862 Ph: (254) 987-0405 |
| NPI Number | 1245743962 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 01/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245743962 | NPI | - | NPPES |
| 379254101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Texas) | Primary |
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