Organization
RESTORED BEHAVIORAL HEALTH SERVICES
Active
Other names
Restored Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BANKOLE VIATONU (OWNER)
(301) 760-8701
Entity
Organization
Contact information
Practice address
6495 NEW HAMPSHIRE AVE STE A303, HYATTSVILLE, MD 20783-3245
(240) 667-2357
(240) 667-2743
Mailing address
6495 NEW HAMPSHIRE AVE STE A303, HYATTSVILLE, MD 20783-3245
(240) 667-2357
(240) 667-2743
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
MD
Other
Enumeration date
07/09/2018
Last updated
08/04/2023
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