Organization
REFUGE AND RESTORE PLLC
Active
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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