Organization
RESTORE OUTREACH CENTER OHIO
Active
Parent organization
RESTORE OUTREACH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORE OUTREACH CENTER
Authorized official
MARTIN KNIGHTSHEAD (CEO)
(225) 937-3189
Entity
Organization
Contact information
Practice address
3966 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122-6770
(440) 340-5086
Mailing address
4315 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9661
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
05/01/2025
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