Organization
FAMILY RESTORATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LEE FOWLKES LCSW (DIRECTOR)
(270) 535-4516
Entity
Organization
Contact information
Practice address
141 VANDERBILT CT, BOWLING GREEN, KY 42103-7020
(270) 535-4516
Mailing address
1103 HOMESTEAD CT, BOWLING GREEN, KY 42104-4122
(270) 779-9677
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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