| Restart Recovery LLC | |
|
21 Doctors Park Ste A Cape Girardeau MO 63703-4927 | |
| (217) 303-2743 | |
| Not Available |
| Full Name | Restart Recovery LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 21 Doctors Park Ste A, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Shariff Shakir (OWNER) |
| Authorized Official Contact | 2173032743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restart Recovery LLC 1018 S Mckinley St Harrisburg IL 62946-2961 Ph: (217) 303-2743 | Restart Recovery LLC 21 Doctors Park Ste A Cape Girardeau MO 63703-4927 Ph: (217) 303-2743 |
| NPI Number | 1295222966 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295222966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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