Provider Demographics
NPI:1235218884
Name:RESTORATION MINISTRIES INC.
Entity Type:Organization
Organization Name:RESTORATION MINISTRIES INC.
Other - Org Name:CHILDREN'S ADVOCACY CENTER OF BENTON COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-631-7345
Mailing Address - Street 1:2113 LITTLE FLOCK DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-7042
Mailing Address - Country:US
Mailing Address - Phone:479-621-0385
Mailing Address - Fax:
Practice Address - Street 1:2113 LITTLE FLOCK DR
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-7042
Practice Address - Country:US
Practice Address - Phone:479-621-0385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA0306058101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty