The Restoration Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

2000116 Issued in NJ

Legal business name

THE RESTORATION CENTER

Practice address

300 S 12TH St
Newark, NJ 07103-1960

Phone

(973) 622-4934

Fax

(973) 622-5820

NPI assigned

Jul 6, 2012

Last updated

Jul 6, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Gwen Parks

Title

Executive Director

Phone

(973) 622-4934

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1447515457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031960",
            "telephone_number": "973-622-4934",
            "fax_number": "973-622-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031960",
            "telephone_number": "973-622-4934",
            "fax_number": "973-622-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESTORATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-622-4934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "2000116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273082",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Parenting Training Network
• The Partnership for Maternal and Child Health of Northern New Jersey
• The Prevailing Family Inc
• The Prime Rite Corporation (Prime Rite Pharmacy)
• The Prudential Insurance Company of America (Prudential Health & Wellness)
• The Restoration Center Inc.
• The Rose Center LLC
• The Shine Project Inc.
• The Starter House Community Living Center
• The Stone Center of New Jersey, LLC

• Adult Mental Health Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.