Organization
RESTORE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINIQUE WASHINGTON (CEO / OWNER)
(757) 240-3716
Entity
Organization
Contact information
Practice address
23 N INDEPENDENCE DR, HAMPTON, VA 23669-3778
(757) 240-3716
Mailing address
23 N INDEPENDENCE DR, HAMPTON, VA 23669-3778
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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