| Soul Restore | |
|
1629 K St Nw Washington DC 20006-1602 | |
| (202) 751-6444 | |
| Not Available |
| Full Name | Soul Restore |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1629 K St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Kean Glen Oliver Baxter (OWNER) |
| Authorized Official Contact | 2027516444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Restore 2513 West St Se Washington DC 20020-4414 Ph: (202) 751-6444 | Soul Restore 1629 K St Nw Washington DC 20006-1602 Ph: (202) 751-6444 |
| NPI Number | 1497313282 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497313282 | NPI | - | NPPES |
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