Organization
RESTORE AND RENEW COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GUNDOLFF (OWNER)
(916) 792-9444
Entity
Organization
Contact information
Practice address
401 HUGHES RD STE 2, MADISON, AL 35758-1144
(256) 755-4599
Mailing address
109 LAZY RIV, HARVEST, AL 35749-8398
(916) 792-9444
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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