Organization
RESTORING MINDS BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LATASHA SHELL (OWNER)
(410) 800-6186
Entity
Organization
Contact information
Practice address
1105 N POINT BLVD STE 310, BALTIMORE, MD 21224-3472
(410) 800-6186
Mailing address
1105 N POINT BLVD STE 310, BALTIMORE, MD 21224-3472
(410) 800-6186
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105
FACILITY ADDRESS
—
Enumeration date
10/26/2021
Last updated
10/26/2021
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