Organization
RESTORATIVE TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COREA CHARLISE MITTER BUGG (DIRECTOR)
(443) 226-3906
Entity
Organization
Contact information
Practice address
1200 N COLLINGTON AVE, BALTIMORE, MD 21213-3313
(443) 226-3906
Mailing address
1408 N BERWICK CT, BEL AIR, MD 21015-5626
(443) 226-3906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/13/2024
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