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Organization

ALPHA RESTORATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDAN MOOREHEAD BA, MS (DIRECTOR)
(303) 883-5767
Entity
Organization

Contact information

Practice address
1320 MICHELLE CT APT S, COLORADO SPRINGS, CO 80916-1908
(303) 883-5767
Mailing address
PO BOX 15344, COLORADO SPGS, CO 80935-5344
(303) 883-5767

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
305S00000X
Point of Service
Primary

Other

Enumeration date
07/25/2019
Last updated
11/25/2019
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