Organization
RESTORATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL BURTON TAYLOR SUBSTANCE ABUSE COUN (CEO)
(785) 341-9499
Entity
Organization
Contact information
Practice address
235 W 7TH ST, JUNCTION CITY, KS 66441-3594
(785) 762-4470
(785) 762-4495
Mailing address
122 S 4TH ST, MANHATTAN, KS 66502-6110
(785) 537-8809
(785) 537-8850
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367480 G
—
KS
05
—
200367480A
—
KS
Enumeration date
01/24/2007
Last updated
08/09/2012
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