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Organization
THE RESTORATION VILLAGE: THERAPEUTIC AND HOLISTIC SERVICES
Active
Organization
THE RESTORATION VILLAGE: THERAPEUTIC AND HOLISTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MARIE WILLIAMS LPC, DP-C (CEO)
(248) 842-2310
Entity
Organization
Contact information
Practice address
3050 OLD ORCHARD DR, WATERFORD, MI 48328-3650
(248) 842-2310
Mailing address
3050 OLD ORCHARD DR, WATERFORD, MI 48328-3650
(248) 842-2310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/17/2019
Last updated
08/30/2022
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