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Organization
RESTORED LIVING INC
Active
Organization
RESTORED LIVING INC
Active
Other names
Restored Living Inc
Organization subpart
No
Provider details
NPI number
Authorized official
OKPENZE BALLARD (CEO, PROGRAM DIRECTOR)
(410) 882-1715
Entity
Organization
Contact information
Practice address
8424 OLD HARFORD RD STE 3C, PARKVILLE, MD 21234-4900
(410) 882-1715
Mailing address
8424 OLD HARFORD RD STE 3C, PARKVILLE, MD 21234-4900
(410) 882-1715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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