| Restored Living Inc | |
|
8424 Old Harford Rd Ste 3c Parkville MD 21234-4900 | |
| (410) 882-1715 | |
| Not Available |
| Full Name | Restored Living Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8424 Old Harford Rd Ste 3c, Parkville, Maryland |
| Authorized Official Name and Position | Okpenze Ballard (CEO, PROGRAM DIRECTOR) |
| Authorized Official Contact | 4108821715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored Living Inc 8424 Old Harford Rd Ste 3c Parkville MD 21234-4900 Ph: (410) 882-1715 | Restored Living Inc 8424 Old Harford Rd Ste 3c Parkville MD 21234-4900 Ph: (410) 882-1715 |
| NPI Number | 1518514777 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518514777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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