Organization
RESTORATIVE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA T GRIMES (OWNER)
(804) 513-9338
Entity
Organization
Contact information
Practice address
573 SOUTHLAKE BLVD STE A, NORTH CHESTERFIELD, VA 23236-3095
(804) 513-9338
Mailing address
PO BOX 2631, MIDLOTHIAN, VA 23113-8631
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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