Organization
REACH REDEEM RESTORE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INYANG EDOHO (OWNER)
(240) 920-9103
Entity
Organization
Contact information
Practice address
5221 HARFORD RD, BALTIMORE, MD 21214-2622
(443) 402-5052
Mailing address
708 PULASKI HWY STE B, JOPPA, MD 21085-3926
(443) 402-5052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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