Organization
4 2 RESTORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEADRA M MARTIN PHD (OWNER/PROGRAM COORDINATOR)
(443) 500-4887
Entity
Organization
Contact information
Practice address
8310 LIBERTY RD STE 2C, WINDSOR MILL, MD 21244-3124
(443) 500-4887
Mailing address
3527 N ROLLING RD STE 4, WINDSOR MILL, MD 21244-2256
(443) 500-4887
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/21/2018
Last updated
06/10/2020
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