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Organization
RESTORED LIVING LLC
Active
Organization
RESTORED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKPENZE FELICIA BALLARD RN, MSN (CEO)
(917) 378-2269
Entity
Organization
Contact information
Practice address
8424 OLD HARFORD RD, PARKVILLE, MD 21234-4900
(410) 882-1715
Mailing address
3044 CALIFORNIA AVE, PARKVILLE, MD 21234-4141
(917) 378-2269
(410) 882-1715
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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