| Restoration Behavioral Health Systems,llc | |
|
3455 Wilkens Ave Ste 100 Baltimore MD 21229-5204 | |
| (410) 982-6355 | |
| Not Available |
| Full Name | Restoration Behavioral Health Systems,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3455 Wilkens Ave Ste 100, Baltimore, Maryland |
| Authorized Official Name and Position | Kenneth Collins (MANAGING PARTNER) |
| Authorized Official Contact | 4109826355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Behavioral Health Systems,llc 5430 Campbell Blvd Ste 107 White Marsh MD 21162-5503 Ph: (410) 982-6355 | Restoration Behavioral Health Systems,llc 3455 Wilkens Ave Ste 100 Baltimore MD 21229-5204 Ph: (410) 982-6355 |
| NPI Number | 1558997296 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558997296 | NPI | - | NPPES |
| 1911009191 | Other | MD | BEHAVIORAL HEALTH IOP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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