Provider Demographics
NPI:1215712385
Name:EASY RESTORATION BEHAVIORAL AND MENTAL HEALTH LLC
Entity type:Organization
Organization Name:EASY RESTORATION BEHAVIORAL AND MENTAL HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AROBIEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-431-3345
Mailing Address - Street 1:600 REISTERSTOWN RD STE 400
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5107
Mailing Address - Country:US
Mailing Address - Phone:410-775-5180
Mailing Address - Fax:866-209-4405
Practice Address - Street 1:600 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5104
Practice Address - Country:US
Practice Address - Phone:410-775-5180
Practice Address - Fax:866-209-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)