Organization
HOUSE OF RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNIE CLIFTON ROBINSON JR. (EXECUTIVE DIRECTOR/ SOCIAL WORKER)
(334) 214-5522
Entity
Organization
Contact information
Practice address
1200 12TH CT, PHENIX CITY, AL 36867-5732
(334) 214-5522
(334) 214-5525
Mailing address
1200 12TH CT, PHENIX CITY, AL 36867-5732
(334) 214-5522
(334) 214-5525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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