Organization
RESTORATION CENTER CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LUSSIER (FOUNDER)
(312) 549-9051
Entity
Organization
Contact information
Practice address
1200 W 35TH ST STE 5B5220, CHICAGO, IL 60609-1305
(312) 548-9051
Mailing address
1200 W 35TH ST STE 5B5220, CHICAGO, IL 60609-1305
(312) 548-9051
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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