4 2 RESTORE DRUG & ALCOHOL RECOVERY CENTER
NPI 1750846465
Clinic/Center - Rehabilitation, Substance Use Disorder in Baltimore, MD

NPI Status: Active since February 06, 2019

Contact Information

302 PARK AVE
BALTIMORE, MD
ZIP 21201
Phone: (443) 500-4887

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About 4 2 RESTORE DRUG & ALCOHOL RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for 4 2 Restore Drug & Alcohol Recovery Center, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1750846465 assigned on February 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Deadra Monique Martin Phd (Ceo)

NPI
1750846465
Provider Name
4 2 RESTORE DRUG & ALCOHOL RECOVERY CENTER
Entity Type
Organization
Location Address
302 PARK AVE BALTIMORE, MD 21201
Location Phone
(443) 500-4887
Mailing Address
302 PARK AVE BALTIMORE, MD 21201
Mailing Phone
(443) 500-4887
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2019
Last Update Date
02-06-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DEADRA MONIQUE MARTIN PHD

Authorized Official Title
CEO
Authorized Official Phone
(443) 500-4887

Reviews for 4 2 RESTORE DRUG & ALCOHOL RECOVERY CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750846465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710016412412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 4 + 1 + 2 + 4 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750846465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821221409DR. ENID CRUISE BROOKS DC
Individual
Chiropractor302 PARK AVE
BALTIMORE, MD 21201
(410) 223-2774
1780373324NEW LIFE RECOVERY FOUNDATION CORP
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))302 PARK AVE
BALTIMORE, MD 21201
(410) 304-6686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750846465, enumerated in the NPI registry as an "organization" on February 06, 2019

The provider is located at 302 Park Ave Baltimore, Md 21201 and the phone number is (443) 500-4887

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on February 06, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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