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
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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