Provider Demographics
NPI:1790474708
Name:RESTORATIONCITY
Entity Type:Organization
Organization Name:RESTORATIONCITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPOSITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-532-5613
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:HUNGERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77448-0134
Mailing Address - Country:US
Mailing Address - Phone:979-532-5613
Mailing Address - Fax:
Practice Address - Street 1:158 PR STRAIGHTWAY DR
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77435
Practice Address - Country:US
Practice Address - Phone:979-532-5613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility