| Restart Life, Pllc | |
|
26509 Ne Virginia St Duvall WA 98019-6210 | |
| (800) 682-6934 | |
| (888) 788-3419 |
| Full Name | Restart Life, Pllc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 26509 Ne Virginia St, Duvall, Washington |
| Authorized Official Name and Position | Cosette Dawna Rae (CEO) |
| Authorized Official Contact | 8006826934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restart Life, Pllc 1001 290th Ave Se Fall City WA 98024-7403 Ph: (800) 682-6934 | Restart Life, Pllc 26509 Ne Virginia St Duvall WA 98019-6210 Ph: (800) 682-6934 |
| NPI Number | 1801166103 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801166103 | NPI | - | NPPES |
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