| Organization Name: | WHOLISTIC RESTORATIONS LLC |
| NPI Number: | 1023446002 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AILSA COAKLEY (OWNER) |
| Mailing Address: | 12200 Annapolis Rd Suite 320 Glenn Dale |
| State: | MD US |
| Postal Code: | 207699182 |
| Phone Number: | 3013999119 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 11/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 03437 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |