Organization
RESTORATION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCCULLOUGH CRNA (SVP, CCO)
(609) 828-8061
Entity
Organization
Contact information
Practice address
223 SUMMIT AVE, FORT WASHINGTON, PA 19034-1525
(844) 448-5872
(267) 996-3983
Mailing address
223 SUMMIT AVE, FORT WASHINGTON, PA 19034-1525
(844) 448-5872
(267) 996-3983
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
07/08/2021
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