OrganizationActive
4 2 Restore LLC
NPI 1336751866 · Substance Abuse Rehabilitation Facility · Baltimore, MD
Provider details
- NPI number
- 1336751866
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Deadra Martin, Ceo(410) 701-9190
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2506 Roslyn Ave
Baltimore, MD 21216-2214
Phone: (410) 701-9190
Fax: (410) 901-7483
Street-level locationGet directions
Mailing address
3527 N Rolling Rd Ste 4
Windsor Mill, MD 21244-2256
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2021-06-11
- Certified
- 2021-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.