| Family Restorations Llc | |
|
141 Vanderbilt Ct Bowling Green KY 42103-7020 | |
| (270) 535-4516 | |
| Not Available |
| Full Name | Family Restorations Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 141 Vanderbilt Ct, Bowling Green, Kentucky |
| Authorized Official Name and Position | William Lee Fowlkes (DIRECTOR) |
| Authorized Official Contact | 2705354516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Restorations Llc 1103 Homestead Ct Bowling Green KY 42104-4122 Ph: (270) 779-9677 | Family Restorations Llc 141 Vanderbilt Ct Bowling Green KY 42103-7020 Ph: (270) 535-4516 |
| NPI Number | 1871165720 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871165720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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