Restore Life Plc
NPI #1992289474 in Northville, Michigan
Provider Information
- NPI Number
- 1992289474
- Entity Type
- Organization
- Organization Name
- Restore Life Plc
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 20, 2018
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 18600 NORTHVILLE RD STE 400A
- City
- Northville
- State
- Michigan
- ZIP Code
- 48168-3544
- Phone
- (734) 234-6688
Authorized Official
- Name
- KERRY BASIINGER, LMFT
- Title
- OWNER / AUTHORIZED OFFICIAL
- Phone
- (734) 234-6688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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