4 2 Restore, LLC
NPI #1912401183 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1912401183
- Entity Type
- Organization
- Organization Name
- 4 2 Restore, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 21, 2018
- Last Updated
- Jun 10, 2020
Practice Location
- Address
- 8310 LIBERTY RD STE 2C
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-3124
- Phone
- (443) 500-4887
Authorized Official
- Name
- DR. DEADRA M MARTIN, PHD
- Title
- OWNER/PROGRAM COORDINATOR
- Phone
- (443) 500-4887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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