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Organization
RESTORED THROUGH GRACE, LLC
Active
Organization
RESTORED THROUGH GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH G. BENOVIC LCSW (MANAGER)
(305) 934-7638
Entity
Organization
Contact information
Practice address
2332 CLUBSIDE CT, PALM HARBOR, FL 34683-1782
(305) 934-7638
Mailing address
2332 CLUBSIDE CT APT 1422, PALM HARBOR, FL 34683-1782
(305) 934-7638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
SW14827
FL
Other
Enumeration date
07/16/2018
Last updated
11/15/2019
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