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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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