Reach Redeem Restore Wellness LLC
Community Based Residential Treatment Facility, Mental Illness in Essex, MD. Organization (NPI-2).
NPI number1104635804
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1104635804
- Entity type
- Organization (NPI-2)
- Legal business name
- Reach Redeem Restore Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
1699 Poles RdEssex, MD 21221-2914
Phone 443-402-5052
Mailing address
708 Pulaski HwyJoppa, MD 21085-3926
Phone 443-402-5052
Authorized official
Kenneth McAllister
Owner
4439830898
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