# RESTORED LIVING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restored Living Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518514777
- **Authorized official:** OKPENZE BALLARD (CEO, PROGRAM DIRECTOR)
- **Authorized official phone:** (410) 882-1715

## Contact information

- **Practice address:** 8424 OLD HARFORD RD STE 3C, PARKVILLE, MD 21234-4900
- **Practice address phone:** (410) 882-1715
- **Mailing address:** 8424 OLD HARFORD RD STE 3C, PARKVILLE, MD 21234-4900
- **Mailing address phone:** (410) 882-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 08/22/2019