| The Restoration Center | |
|
300 S 12th St Newark NJ 07103-1960 | |
| (973) 622-4934 | |
| (973) 622-5820 |
| Full Name | The Restoration Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 300 S 12th St, Newark, New Jersey |
| Authorized Official Name and Position | Gwen Parks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9736224934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Restoration Center 300 S 12th St Newark NJ 07103-1960 Ph: (973) 622-4934 | The Restoration Center 300 S 12th St Newark NJ 07103-1960 Ph: (973) 622-4934 |
| NPI Number | 1447515457 |
|---|---|
| Provider Enumeration Date | 07/06/2012 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447515457 | NPI | - | NPPES |
| 0273082 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2000116 (New Jersey) | Primary |
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