Provider Demographics
NPI:1285474049
Name:RESTORE UNITY INCORPORATED
Entity type:Organization
Organization Name:RESTORE UNITY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CASTRONUOVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-932-5879
Mailing Address - Street 1:PO BOX 401096
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92340-1096
Mailing Address - Country:US
Mailing Address - Phone:760-488-7971
Mailing Address - Fax:
Practice Address - Street 1:17508 HERCULES ST STE B6
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-7614
Practice Address - Country:US
Practice Address - Phone:760-488-7971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No174200000XOther Service ProvidersMeals
No251V00000XAgenciesVoluntary or Charitable