Organization
RESTORE OUTREACH CENTER
Active
Parent organization
RESTORE OUTREACH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORE OUTREACH CENTER
Authorized official
MARTIN JOSEPH KNIGHTSHEAD ETC (OWNER)
(225) 937-3189
Entity
Organization
Contact information
Practice address
2415 GOVERNMENT ST, BATON ROUGE, LA 70806-5318
(225) 388-5265
(225) 388-5869
Mailing address
2415 GOVERNMENT ST, BATON ROUGE, LA 70806-5318
(225) 388-5265
(225) 388-5869
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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