OrganizationActive
Restart Life, PLLC
NPI 1801166103 · Psychiatric Residential Treatment Facility · Duvall, WA
Provider details
- NPI number
- 1801166103
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Cosette Rae, Ceo
Practice location
26509 Ne Virginia St
Duvall, WA 98019-6210
Phone: (800) 682-6934
Fax: (888) 788-3419
Mailing address
1001 290th Ave Se
Fall City, WA 98024-7403
Registry dates
- Enumerated
- 2012-01-04
- Last updated
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.