| Release To Restore, Llc | |
|
717 S Foster Dr Ste. 130 Baton Rouge LA 70806-5943 | |
| (225) 317-9383 | |
| (225) 341-1217 |
| Full Name | Release To Restore, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 717 S Foster Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Shawanda Benton (LPC) |
| Authorized Official Contact | 2253179383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Release To Restore, Llc Po Box 65262 Baton Rouge LA 70896-5262 Ph: () - | Release To Restore, Llc 717 S Foster Dr Ste. 130 Baton Rouge LA 70806-5943 Ph: (225) 317-9383 |
| NPI Number | 1982007597 |
|---|---|
| Provider Enumeration Date | 09/27/2014 |
| Last Update Date | 09/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982007597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5070 (Louisiana) | Primary |
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