Organization
RESTORATION HOUSE MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TERRY JOHNSON (CEO)
(865) 805-0567
Entity
Organization
Contact information
Practice address
154 LEE GREENWOOD WAY, KODAK, TN 37764-2169
(865) 352-1274
Mailing address
PO BOX 367, NEWPORT, TN 37822-0367
(423) 205-8024
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
11/27/2024
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