Organization
RESTORED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKPENZE FELICIA BALLARD PMHNP (PRESIDENT/CEO)
(917) 378-2269
Entity
Organization
Contact information
Practice address
8424 OLD HARFORD RD STE C3, PARKVILLE, MD 21234-4900
(410) 882-1715
Mailing address
8424 OLD HARFORD RD SUITE C3, PARKVILLE, MD 21234-4900
(917) 378-2269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
11/30/2023
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