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Organization
RESTORATION CRISIS CENTER THERAPEUTIC HOME
Active
Organization
RESTORATION CRISIS CENTER THERAPEUTIC HOME
Active
Other names
Restoration Crisis Center Therapeutic Home
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SWEENEY (EXECUTIVE DIRECTOR)
(318) 525-9000
Entity
Organization
Contact information
Practice address
6808 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-3302
(318) 347-1963
Mailing address
6808 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-3302
(318) 525-9000
(318) 525-9007
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
16331
LA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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