Organization
PRACTICE BUILDERS, LLC
Active
Other names
Restore Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE WALLER (ADMINISTRATOR)
(256) 312-8988
Entity
Organization
Contact information
Practice address
723 BEREA AVE, GADSDEN, AL 35901-4155
(256) 312-8988
(877) 480-9640
Mailing address
1303 BELLEVUE DR, GADSDEN, AL 35904-3622
(256) 295-8889
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/26/2016
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