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Organization

RESTORING PIECE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENI CHARISSE BOWEN LPC (MEMBER)
(205) 765-7565
Entity
Organization

Contact information

Practice address
433 MAIN AVENUE, NORTHPORT, AL 35476
(205) 765-7565
Mailing address
433 MAIN AVENUE, NORTHPORT, AL 35476
(205) 765-7565

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2809
AL

Other

Enumeration date
10/22/2015
Last updated
10/22/2015
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