| Restore Behavioral Services | |
|
23 N Independence Dr Hampton VA 23669-3778 | |
| (757) 240-3716 | |
| Not Available |
| Full Name | Restore Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23 N Independence Dr, Hampton, Virginia |
| Authorized Official Name and Position | Dominique Washington (CEO / OWNER) |
| Authorized Official Contact | 7572403716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Behavioral Services 23 N Independence Dr Hampton VA 23669-3778 Ph: () - | Restore Behavioral Services 23 N Independence Dr Hampton VA 23669-3778 Ph: (757) 240-3716 |
| NPI Number | 1003397779 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003397779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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