Provider Demographics
NPI:1629724000
Name:ALLIED RESTORATIVE SYSTEMS
Entity Type:Organization
Organization Name:ALLIED RESTORATIVE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDELL-BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-255-5839
Mailing Address - Street 1:15 PRATTS RUN STE 104
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-6606
Mailing Address - Country:US
Mailing Address - Phone:540-609-2570
Mailing Address - Fax:844-430-0195
Practice Address - Street 1:15 PRATTS RUN STE 104
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-6606
Practice Address - Country:US
Practice Address - Phone:540-609-2570
Practice Address - Fax:844-430-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)