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Organization

DESTINY HOUSE OF RESTORATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ADENIKE RACHEL ABORISADE (CEO)
(443) 889-3278
Entity
Organization

Contact information

Practice address
10902 REISTERSTOWN ROAD, OWINGS MILLS, MD 21117
(443) 929-2723
Mailing address
3732 THOROUGHBRED LANE, OWINGS MILLS, MD 21117
(443) 889-3278

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
04/21/2022
Last updated
04/21/2022
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