Restore Outreach Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESTORE OUTREACH CENTER

Practice address

2415 Government St
Baton Rouge, LA 70806-5318

Phone

(225) 388-5265

Fax

(225) 388-5869

NPI assigned

Mar 3, 2015

Organization subpart

Yes

Parent organization

RESTORE OUTREACH CENTERAs reported in NPPES

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

Authorized official

Name

Martin Joseph Knightshead, ETC

Title

Owner

Phone

(225) 937-3189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1629460456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 GOVERNMENT ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065318",
            "telephone_number": "225-388-5265",
            "fax_number": "225-388-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 GOVERNMENT ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065318",
            "telephone_number": "225-388-5265",
            "fax_number": "225-388-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE OUTREACH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE OUTREACH CENTER",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "KNIGHTSHEAD",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-937-3189",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resource Center
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• Resources for Independent Living, Inc.
• Alicia Rutherford Restivo, NP
• Restoration Community Services LLC
• Restore Outreach Transportation, LLC
• Restore Physical Therapy and Pelvic Health
• Restoring Hearts Ministry
• Resurrection & New Life Fellowship
• Brandon James Retif

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.