Organization
RESTORE HEALTH & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS M RADNEY (ADMINISTRATOR)
(303) 307-8855
Entity
Organization
Contact information
Practice address
4705 PARIS ST, # 100, DENVER, CO 80239-2860
(303) 307-8855
(303) 307-8666
Mailing address
4705 PARIS ST, # 100, DENVER, CO 80239-2860
(303) 307-8855
(303) 307-8666
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1630-01
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630-01
ALCOHOL AND DRUG ABUSE DIVISION (ADAD)
CO
Enumeration date
07/22/2008
Last updated
07/22/2008
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