| Restoring Piece Llc | |
|
433 Main Avenue Northport AL 35476 | |
| (205) 765-7565 | |
| Not Available |
| Full Name | Restoring Piece Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 433 Main Avenue, Northport, Alabama |
| Authorized Official Name and Position | Jeni Charisse Bowen (MEMBER) |
| Authorized Official Contact | 2057657565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Piece Llc 433 Main Avenue Northport AL 35476 Ph: (205) 765-7565 | Restoring Piece Llc 433 Main Avenue Northport AL 35476 Ph: (205) 765-7565 |
| NPI Number | 1740652395 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740652395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2809 (Alabama) | Primary |
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