Alan  M  Harben    MD
Contract Details
Restore Neurobehavioral Center
Facility name
Provider ID
P000002654
NPI
1669652095
Tax ID
582287958
Effective Date
12/15/2010
Last Updated
12/1/2020
Direct Contract
Yes
Term Date
12/1/2020
Status
Contract Discounts
Discount Type
D
Billed Charges Multiplier
85.00
Location Details
Address
690 Whippoorwill Lane
Ragland, AL 35131
United States
County
Saint Clair
Phone
2054722700 (Phone)
Billing Details
Address
690 Whippoorwill Lane
Atlanta, GA 35131
Billing Phone
7705638248
Specialty Type
Pain Management
Map
Address