Organization
NEW RESTORATION MINISTRIES
Active
Other names
New Rest Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMON C WHITE (CEO)
(443) 392-8191
Entity
Organization
Contact information
Practice address
2037 W NORTH AVE, BALTIMORE, MD 21217-1221
(443) 392-8191
Mailing address
2037 W NORTH AVE, BALTIMORE, MD 21217-1221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
MD
Enumeration date
05/07/2019
Last updated
11/22/2019
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