| Restoration Family Services, Inc | |
|
1229 E Pleasant Run Rd Ste 200 Desoto TX 75115-4214 | |
| (972) 228-4261 | |
| (972) 637-9278 |
| Full Name | Restoration Family Services, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1229 E Pleasant Run Rd Ste 200, Desoto, Texas |
| Authorized Official Name and Position | David Wayne Sutton (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9722284261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Family Services, Inc 1229 E Pleasant Run Rd Ste 200 Desoto TX 75115-4214 Ph: (972) 228-4261 | Restoration Family Services, Inc 1229 E Pleasant Run Rd Ste 200 Desoto TX 75115-4214 Ph: (972) 228-4261 |
| NPI Number | 1609450741 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609450741 | NPI | - | NPPES |
| 17242402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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