4 2 RESTORE LLC NPI 1265044788

NPI Information

NPI: 1265044788
Provider Name: 4 2 RESTORE LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3527 N ROLLING RD STE 4
WINDSOR MILL, MD
ZIP 21244
Phone: (410) 701-9190
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4 2 RESTORE LLC is a rehabilitation and substance use disorder clinic center in Windsor Mill, MD. 4 2 RESTORE LLC NPI is 1265044788. The provider is registered as an organization entity type.

The provider's business location address is:

3527 N ROLLING RD STE 4
WINDSOR MILL, MD
ZIP 21244-256
Phone: (410) 701-9190
Fax: (410) 701-7483

The provider's authorized official is Deadra Monique Martin .
The authorized official title is Ceo and has the following contact phone number (410) 701-9190.

The enumeration date for this NPI number is 8/17/2020 and was last updated on 10/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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