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Organization

RESTART, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHELLE PELLISSIER (DIRECTOR)
(775) 324-2622
Entity
Organization

Contact information

Practice address
335 RECORD ST, #155, RENO, NV 89512-3327
(775) 324-2622
(775) 324-0446
Mailing address
PO BOX 21530, CARSON CITY, NV 89721-1530
(775) 884-2455
(775) 884-0345

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4954-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184711392
NV
Enumeration date
10/07/2006
Last updated
12/29/2009
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