Organization
RESTORE ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL SMITH (CLINICAL SOCIAL WORKER, OWNER)
(919) 332-4043
Entity
Organization
Contact information
Practice address
17836 CHANDLER PARK DR, DETROIT, MI 48224-1340
(919) 332-4043
Mailing address
PO BOX 361113, GROSSE POINTE, MI 48236-5113
(919) 332-4043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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