Organization Name: | RESTORE AND MORE INC |
NPI Number: | 1417232703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DALA R JAROLIM (VICE PRESIDENT) |
Mailing Address: | 1217 W Main St Jenks |
State: | OK US |
Postal Code: | 740372311 |
Phone Number: | 9186956673 |
Fax Number: | 9187476673 |
NPI Enumeration Date: | 10/18/2011 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2064 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |