Refuge and Restore Pllc
NPI #1982361671 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1982361671
- Entity Type
- Organization
- Organization Name
- Refuge and Restore Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Jan 29, 2022
Practice Location
- Address
- 4943 OLD GREENWOOD RD STE 9
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-6923
- Phone
- (479) 353-0016
Authorized Official
- Name
- DEANNA VITALE, LCSW
- Title
- AUTHORIZED OFFICIAL, SOLE OWNER
- Phone
- (479) 353-0016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Social Worker - Clinical — Clinical |
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