John  R  Sass    PHD
Contract Details
Restore Health Group, Inc
Facility name
Provider ID
P000002684
NPI
1093858854
Tax ID
582156453
Effective Date
12/15/2010
Last Updated
11/22/2011
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
D
Billed Charges Multiplier
85.00
Location Details
Address
1276 McConnell Dr Suite C
Decatur, GA 30033
United States
County
DeKalb
Phone
4043211441 (Phone)
Billing Details
Address
Specialty Type
Neuropsychology
Map
Address