RESTORATION OUTPATIENT DETOX WOODSTOCK LLC
NPI 1144118431
Substance Abuse Rehabilitation Facility in Woodstock, GA
About Restoration Outpatient Detox Woodstock Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTORATION OUTPATIENT DETOX WOODSTOCK LLC (NPI 1144118431) is a healthcare organization registered as a substance abuse rehabilitation facility in Woodstock, Georgia and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Andrew Widota, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2326254
Restoration Outpatient Detox Woodstock, LLC · Woodstock, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Restoration Outpatient Detox Woodstock LLC's NPI number?
The NPI number for Restoration Outpatient Detox Woodstock LLC is 1144118431. It was assigned to this organization in the NPPES registry on June 25, 2025.
Where is Restoration Outpatient Detox Woodstock LLC located?
Restoration Outpatient Detox Woodstock LLC is located at 355 Parkway 575 Ste 200B, Woodstock, GA 30188. The listed phone number is (678) 498-1600.
What is Restoration Outpatient Detox Woodstock LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Restoration Outpatient Detox Woodstock LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2326254) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Restoration Outpatient Detox Woodstock LLC was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Restoration Outpatient Detox Woodstock Llc · NPI 1144118431
Substance Abuse Rehabilitation Facility organization in Woodstock, Georgia. Organization record, active in the CMS NPPES registry since June 25, 2025.
## Identity
- **NPI:** 1144118431 (Entity type: Organization)
- **Enumerated:** June 25, 2025
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Andrew Widota, COO
## Practice location
- **Address:** 355 PARKWAY 575 STE 200B, Woodstock, GA 30188-4874
- **Phone:** (678) 498-1600
## Record status
- **NPPES last updated:** July 3, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144118431) · Data from the CMS NPPES public registry.