Organization
RESTORED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKPENZE BALLARD (PROGRAM DIRECTOR)
(917) 378-2269
Entity
Organization
Contact information
Practice address
3044 CALIFORNIA AVENUE, PARKVILLE, MD 21234-4141
(917) 378-2269
Mailing address
3044 CALIFORNIA AVENUE, PARKVILLE, MD 21234-4141
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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