| Restored Living Inc | |
|
3044 California Avenue Parkville MD 21234-4141 | |
| (917) 378-2269 | |
| Not Available |
| Full Name | Restored Living Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3044 California Avenue, Parkville, Maryland |
| Authorized Official Name and Position | Okpenze Ballard (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9173782269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored Living Inc 3044 California Avenue Parkville MD 21234-4141 Ph: () - | Restored Living Inc 3044 California Avenue Parkville MD 21234-4141 Ph: (917) 378-2269 |
| NPI Number | 1558835843 |
|---|---|
| Provider Enumeration Date | 01/20/2019 |
| Last Update Date | 01/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558835843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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