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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