Organization · Type 2 NPI

Restore LLC

Substance Use Disorder Rehabilitation Clinic/Center · Fairbanks, AK

NPI number 1497424949 Active

Practice location

211 Cushman St
Fairbanks, AK 99701-4639

Call (907) 374-1097 Map

Mailing address

PO Box 73004
Fairbanks, AK 99707-3004

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

3 other providers at this address

Hannah Micaela Alexander, RNAddiction (Substance Use Disorder) Registered Nurse Fairbanks, AK NPI 1659887354
Rolanda Jeanelle WrightAddiction (Substance Use Disorder) Registered Nurse Fairbanks, AK NPI 1568105781
Rosalia IoaneAddiction (Substance Use Disorder) Counselor Fairbanks, AK NPI 1942925102

Other substance use disorder rehabilitation clinic/center providers in Fairbanks

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NPI record

NPI: 1497424949
Entity type: Organization (Type 2)
Issued: Sep 8, 2021
Last updated: Oct 7, 2024
Status: Active

Other names

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Refine Detoxification and Recovery Center · doing business as
Refine Detoxification and Recovery Center · doing business as

Authorized official

Timothy M Thomas
Chief Operations Officer
(907) 374-1097

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497424949

Restore LLC's National Provider Identifier is 1497424949, issued on Sep 8, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 7, 2024.