Healthcare Provider Details

I. General information

NPI: 1447114772
Provider Name (Legal Business Name): RESTORATION HOUSE AND OUTREACH MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13821 ROMERO AVE
BAKERSFIELD CA
93314-9339
US

IV. Provider business mailing address

13821 ROMERO AVE
BAKERSFIELD CA
93314-9339
US

V. Phone/Fax

Practice location:
  • Phone: 661-747-2426
  • Fax:
Mailing address:
  • Phone: 661-747-2426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ENSLEY DAWN ACOSTA
Title or Position: FOUNDER
Credential:
Phone: 661-747-2426