4 2 Restore LLC
NPI #1225504467 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1225504467
- Entity Type
- Organization
- Organization Name
- 4 2 Restore LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 15, 2018
- Last Updated
- Oct 13, 2020
Practice Location
- Address
- 3527 N ROLLING RD STE 4
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-2256
- Phone
- (410) 701-9190
Authorized Official
- Name
- DR. DEADRA MONIQUE MARTIN
- Title
- PROGRAM DIRECTOR/OWNER
- Phone
- (443) 500-4887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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