{
"Npi": {
"NPI": "1710832720",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RESTORE HEALING CENTER LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "199 ARABIAN TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOT SPRINGS NATIONAL PARK",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71901-2121",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-327-0471",
"MailingAddressFaxNumber": "630-393-3388",
"FirstLinePracticeLocationAddress": "250 ADAM BROWN RD UNIT A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PEARCY",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71964-9519",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-318-2020",
"PracticeLocationAddressFaxNumber": "501-767-5450",
"EnumerationDate": "03/04/2026",
"LastUpdateDate": "03/04/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LOGAN",
"AuthorizedOfficialFirstName": "JULIE",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "630-327-0471",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}