Organization
REFUGE AND RESTORE PLLC
Active
Other names
The Refuge
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA VITALE LCSW (AUTHORIZED OFFICIAL, SOLE OWNER)
(479) 353-0016
Entity
Organization
Contact information
Practice address
4943 OLD GREENWOOD RD STE 9, FORT SMITH, AR 72903-6923
(479) 353-0016
Mailing address
2908 RIVERBEND DR, FORT SMITH, AR 72903-5325
(379) 353-0016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/17/2021
Last updated
01/29/2022
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