NPIMap

Organization Active NPI

Restorative Treatment Services

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1972361681
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESTORATIVE TREATMENT SERVICES
Practice address
1200 N Collington Ave
Baltimore, MD 21213-3313
Phone
(443) 226-3906
NPI assigned
Mar 7, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Corea Charlise Mitter Bugg
Title
Director
Phone
(443) 226-3906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1200 N Collington Ave
Baltimore, MD 21213-3313

Mailing address

1408 N Berwick CT
Bel Air, MD 21015-5626
Phone (443) 226-3906

National Provider Directory

National Provider Directory
Tax ID family
Restorative Treatment Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1972361681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N BERWICK CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155626",
            "telephone_number": "443-226-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N COLLINGTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133313",
            "telephone_number": "443-226-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MITTER BUGG",
        "authorized_official_first_name": "COREA",
        "authorized_official_middle_name": "CHARLISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-226-3906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.