Organization
RESTORE HEALTH KY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY ROBOSA IMPERIAL-STEINER (PRESIDENT)
(859) 459-0796
Entity
Organization
Contact information
Practice address
252 E HIGH ST STE 1, LEXINGTON, KY 40507-1422
(561) 322-8105
Mailing address
252 E HIGH ST STE 3, LEXINGTON, KY 40507-1422
(859) 489-9317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/17/2019
Last updated
03/15/2021
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