4 2 Restore LLC

NPI #1790398154 in Windsor Mill, Maryland

Provider Information

NPI Number
1790398154
Entity Type
Organization
Organization Name
4 2 Restore LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Aug 26, 2020
Last Updated
Oct 13, 2020

Practice Location

Address
3527 N ROLLING RD STE 4
ZIP Code
21244-2256
Phone
(410) 701-9190

Authorized Official

Name
DR. DEADRA MONIQUE MARTIN
Title
CEO
Phone
(410) 701-9190

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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