4 2 Restore LLC
NPI #1982216412 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1982216412
- Entity Type
- Organization
- Organization Name
- 4 2 Restore LLC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Aug 17, 2020
- 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
- CEO
- Phone
- (410) 701-9190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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