Organization · Type 2 NPI
Restore LLC
Substance Abuse Rehabilitation Facility · Fairbanks, AK
NPI number
1881210474
Active
Practice location
1095 Tena Ave
Fairbanks, AK 99701-1422
Fax (907) 374-1062
Mailing address
PO Box 73004
Fairbanks, AK 99707-3004
Other practice locations
- 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 · (907) 374-1097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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- Restore LLCSubstance Abuse Rehabilitation Facility Fairbanks, AK NPI 1295329803
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About NPI 1881210474
Restore LLC's National Provider Identifier is 1881210474, issued on Jun 19, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 7, 2024.