Organization
RESTORE HEALTH GROUP, INC
Active
Other names
Restore Neurobehavioral Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LENNON KELLY JR. (CHIEF OPERATING OFFICER)
(770) 563-8248
Entity
Organization
Contact information
Practice address
200 GALLERIA PKWY SE, SUITE 1800, ATLANTA, GA 30339-5918
(678) 277-9275
(770) 641-7792
Mailing address
200 GALLERIA PKWY SE, SUITE 1800, ATLANTA, GA 30339-5918
(770) 563-8248
(770) 563-8221
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
062-012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00937186A
—
GA
Enumeration date
03/26/2007
Last updated
07/31/2007
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