Family Restorations Llc | |
141 Vanderbilt Ct Bowling Green KY 42103-7020 | |
(270) 535-4516 | |
Not Available |
Full Name | Family Restorations Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 141 Vanderbilt Ct, Bowling Green, Kentucky |
Authorized Official Name and Position | William Lee Fowlkes (DIRECTOR) |
Authorized Official Contact | 2705354516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Restorations Llc 1103 Homestead Ct Bowling Green KY 42104-4122 Ph: (270) 779-9677 | Family Restorations Llc 141 Vanderbilt Ct Bowling Green KY 42103-7020 Ph: (270) 535-4516 |
NPI Number | 1871165720 |
---|---|
Provider Enumeration Date | 07/12/2021 |
Last Update Date | 07/12/2021 |
Certification Date | 07/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871165720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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› Verified 4 days ago
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