# RESTORATION CRISIS CENTER THERAPEUTIC HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restoration Crisis Center Therapeutic Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558857888
- **Authorized official:** LISA SWEENEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (318) 525-9000

## Contact information

- **Practice address:** 6808 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-3302
- **Practice address phone:** (318) 347-1963
- **Mailing address:** 6808 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-3302
- **Mailing address phone:** (318) 525-9000
- **Mailing address fax:** (318) 525-9007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 16331 | LA | Yes |

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 07/10/2018