Organization
RESTORATION HOUSE MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JOHNSON M.A., M.DIV (DIRECTOR/MANAGER)
(865) 805-0567
Entity
Organization
Contact information
Practice address
980 W HIGHWAY 25 70, NEWPORT, TN 37821-9006
(865) 805-0567
Mailing address
2450 WINFIELD DUNN PKWY, KODAK, TN 37764-2100
(865) 805-0567
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/10/2023
Last updated
02/28/2024
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