| Restored Living Llc | |
|
8424 Old Harford Rd Ste C3 Parkville MD 21234-4900 | |
| (410) 882-1715 | |
| Not Available |
| Full Name | Restored Living Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8424 Old Harford Rd Ste C3, Parkville, Maryland |
| Authorized Official Name and Position | Okpenze Felicia Ballard (PRESIDENT/CEO) |
| Authorized Official Contact | 9173782269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored Living Llc 8424 Old Harford Rd Suite C3 Parkville MD 21234-4900 Ph: (917) 378-2269 | Restored Living Llc 8424 Old Harford Rd Ste C3 Parkville MD 21234-4900 Ph: (410) 882-1715 |
| NPI Number | 1336926112 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336926112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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