Provider Demographics
NPI:1982325734
Name:RESTORATION OF FOCUS: MIND, BODY, AND MENTAL HEALTH CARE
Entity Type:Organization
Organization Name:RESTORATION OF FOCUS: MIND, BODY, AND MENTAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DR. KRIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:WILLIAMS-FALCON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MD, BCHHP, CSAC
Authorized Official - Phone:910-248-9180
Mailing Address - Street 1:17221 COVES EDGE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-2203
Mailing Address - Country:US
Mailing Address - Phone:910-248-9180
Mailing Address - Fax:877-519-9597
Practice Address - Street 1:8 SOUTHPARK BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31407-3904
Practice Address - Country:US
Practice Address - Phone:910-248-9180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder