# RESTART, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386794550
- **Authorized official:** DENNIS MITCHELL (CEO)
- **Authorized official phone:** (252) 355-4725

## Contact information

- **Practice address:** 3300 PINETREE LN, GREENVILLE, NC 27858-9293
- **Practice address phone:** (252) 355-4725
- **Practice address fax:** (252) 355-0444
- **Mailing address:** 498 RED BANKS RD \# A, GREENVILLE, NC 27858-5704
- **Mailing address phone:** (252) 355-4725
- **Mailing address fax:** (252) 355-0444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 251B00000X | Case Management Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-074-149 | NC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-074-166 | NC | — |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 04/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603991 | — | NC |
| 05 | — | 6604078 | — | NC |
| 05 | — | 8300389B | — | NC |
| 05 | — | 8300389G | — | NC |
| 05 | — | 8301850 | — | NC |