NPI 1558857888

Restoration Crisis Center Therapeutic Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Shreveport, LA

Practice location

Address: 6808 Jefferson Paige Rd, Shreveport, LA 71119-3302
Phone: (318) 347-1963

Authorised official

Name: Lisa Sweeney
Title: Executive Director
Phone: (318) 525-9000

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 16331 (LA)

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Registry record

NPI: 1558857888
Entity type: Organization
NPI issued: 10 Jul 2018
Record last updated: 10 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.