Restored Life Services | |
127 E 3rd St Russellville AR 72801-5106 | |
(479) 219-4100 | |
Not Available |
Full Name | Restored Life Services |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 127 E 3rd St, Russellville, Arkansas |
Authorized Official Name and Position | Mary Caitlin Conner (CLINICAL DIRECTOR) |
Authorized Official Contact | 4792194100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Restored Life Services Po Box 1483 Russellville AR 72811-1483 Ph: (479) 219-4100 | Restored Life Services 127 E 3rd St Russellville AR 72801-5106 Ph: (479) 219-4100 |
NPI Number | 1558727024 |
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Provider Enumeration Date | 01/13/2016 |
Last Update Date | 01/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558727024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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