| Restorative Self, Inc | |
|
126 W Solomon St Griffin GA 30223-3045 | |
| (424) 367-8313 | |
| Not Available |
| Full Name | Restorative Self, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 126 W Solomon St, Griffin, Georgia |
| Authorized Official Name and Position | Jim Benson (LEGAL LIASON) |
| Authorized Official Contact | 5046215494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Self, Inc 204 Bent Tree Ct Covington LA 70433-4745 Ph: () - | Restorative Self, Inc 126 W Solomon St Griffin GA 30223-3045 Ph: (424) 367-8313 |
| NPI Number | 1487119335 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487119335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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