Organization
RESTART COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS THOMAS BOWEN (OWNER)
(423) 677-3023
Entity
Organization
Contact information
Practice address
152 WILLOW ST, GATE CITY, VA 24251-2737
(423) 677-3023
Mailing address
755 MOCCASIN HILLS DR, GATE CITY, VA 24251-5239
(423) 677-3023
(423) 378-3216
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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