4 2 RESTORE LLC NPI 1336751866

NPI Information

  • NPI: 1336751866
  • Provider Name: 4 2 RESTORE LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 2506 ROSLYN AVE
    BALTIMORE, MD
    ZIP 21216
  • Phone: (410) 701-9190

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NPI Details

4 2 RESTORE LLC is a substance abuse rehabilitation facility in Baltimore, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. 4 2 RESTORE LLC NPI is 1336751866. The provider is registered as an organization entity type.

The provider's business location address is:

2506 ROSLYN AVE
BALTIMORE, MD
ZIP 21216-214
Phone: (410) 701-9190
Fax: (410) 901-7483

The provider's authorized official is Deadra Monqiue 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 6/11/2021.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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