Organization
RESTORATION 1:99
Active
Other names
Restoration 1:99
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDACE L. WHEELER LPC (EXECUTIVE DIR)
(202) 213-6025
Entity
Organization
Contact information
Practice address
600 W ST NE, WASHINGTON, DC 20002-1285
(202) 202-2136
Mailing address
PO BOX 15674, WASHINGTON, DC 20003-0674
(202) 202-2136
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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