Healthcare Provider Details

I. General information

NPI: 1558997296
Provider Name (Legal Business Name): RESTORATION BEHAVIORAL HEALTH SYSTEMS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2020
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 GARRISON BLVD STE 303
BALTIMORE MD
21216-2650
US

IV. Provider business mailing address

2200 GARRISON BLVD STE 303
BALTIMORE MD
21216-2650
US

V. Phone/Fax

Practice location:
  • Phone: 410-982-6355
  • Fax:
Mailing address:
  • Phone: 410-982-6367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KENNETH COLLINS
Title or Position: MANAGING PARTNER
Credential:
Phone: 410-982-6367