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Organization

RESTORATION FAMILY SERVICES, KS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARILYN SHAW MSW (ASSOCIATE EXECUTIVE DIRECTOR)
(316) 609-8768
Entity
Organization

Contact information

Practice address
3450 N ROCK RD STE 405, WICHITA, KS 67226-1354
(316) 779-8185
Mailing address
3450 N ROCK RD STE 405, WICHITA, KS 67226-1354
(316) 779-8185

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
Primary
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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