Restorative Life Services, LLC

NPI #1285981506 in Flossmoor, Illinois

Provider Information

NPI Number: 1285981506
Entity Type: Organization
Organization Name: Restorative Life Services, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 6, 2012
Last Updated: Aug 6, 2012

Practice Location

Address: 169624 GOVERNORS HIGHWAY
City: Flossmoor
State: Illinois
ZIP Code: 60422
Phone: (773) 412-5260

Authorized Official

Name: GHANA COOPER, LCSW, D.MIN
Title: OWNER
Phone: (773) 726-9775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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