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Restorative Behavior, Llc
Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, Maryland
NPI 1518613264

Restorative Behavior, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Upper Marlboro, MD and is specialized in Psychiatric/Mental Health. Restorative Behavior, Llc practices in Upper Marlboro, MD. The NPI Number for Restorative Behavior, Llc is 1518613264 and holds a License No. (Maryland).

The current practice location address for Restorative Behavior, Llc is 9701 Apollo Dr, Upper Marlboro, MD and can be reached out via phone at 301-798-6125 and via fax at 301-355-0276.

Location: 9701 Apollo Dr, Upper Marlboro, MD, 20774-4783
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518613264
Provider Name
Restorative Behavior, Llc
Credential
Provider Entity Type
Organization
Address
9701 Apollo Dr, Upper Marlboro, MD, 20774-4783
Phone Number
301-798-6125
Fax Number
301-355-0276
Provider Enumeration Date
02/22/2022
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6660066. 01 MD AETNA
institution
Provider Business Practice Location Address Details
Address
9701 Apollo Dr
City
Upper Marlboro
State
Maryland
Zip
20774-4783
Phone Number
301-798-6125
Fax Number
301-355-0276
person
Provider Business Mailing Address Details
Address
9701 Apollo Dr
City
Upper Marlboro
State
Maryland
Zip
20774-4783
Phone Number
301-798-6125
Fax Number
301-355-0276
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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