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Contact Information

4 2 RESTORE, LLC
3527 N. ROLLING ROAD
SUITE 4
WINDSOR MILL, MD21244
 Phone: 410-701-9190
 Fax: 410-701-7483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for 4 2 RESTORE, LLC

NPI # 1225504467
LBN Legal business name 4 2 RESTORE, LLC
Authorized official DEADRA MARTIN - (PROGRAM DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2018
Last updated 10/13/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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