Organization
RESTORATIVE RESIDENTIAL LLC
Active
Other names
Lightfully Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEY SORENSEN (VP RCM AND UR)
(314) 740-0786
Entity
Organization
Contact information
Practice address
1414 SAN VICENTE BLVD, SANTA MONICA, CA 90402-2204
(885) 762-8088
Mailing address
PO BOX 45991, SAN FRANCISCO, CA 94145-0991
(314) 740-0786
(818) 963-5270
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
10/23/2025
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