Restore Addiction Recovery And Wellness Llc

LBN: Restore Addiction Recovery And Wellness Llc
Restore Addiction Recovery And Wellness Llc is an health care organization with primary practice located at 613 Burroughs St , Morgantown WV 26505-3332. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Restore Addiction Recovery And Wellness Llc can be contacted via phone (724) 825-5527, or through Watson, Travis L via phone (724) 825-5527.

Contact Information

Primary practice address
613 Burroughs St Morgantown WV 26505-3332
Phone: (724) 825-5527
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Watson, Travis L LPC, SAP, MAC
Phone: (724) 825-5527

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1144973116
LBN Legal business name Restore Addiction Recovery And Wellness Llc
DBA Doing business as
Authorized official Watson, Travis L LPC, SAP, MAC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2022
Last updated Oct 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144973116 NPPES
West Virginia Other 170 STATE OF WV

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