Organization
RESTART RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIFF SHAKIR (OWNER)
(217) 303-2743
Entity
Organization
Contact information
Practice address
21 DOCTORS PARK STE A, CAPE GIRARDEAU, MO 63703-4927
(217) 303-2743
Mailing address
1018 S MCKINLEY ST, HARRISBURG, IL 62946-2961
(217) 303-2743
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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