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Organization
RESTART PROFESSIONAL GROUP, PLLC
Active
Organization
RESTART PROFESSIONAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSSETTE D RAE MSW (DIRECTOR)
(800) 682-6934
Entity
Organization
Contact information
Practice address
2002 156TH AVE NE, BELLEVUE, WA 98007
(800) 682-6934
(888) 788-3419
Mailing address
1001 290TH AVE SE, FALL CITY, WA 98024-7403
(800) 682-6934
(888) 788-3419
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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