| Restored Living Llc | |
|
8424 Old Harford Rd Parkville MD 21234-4900 | |
| (410) 882-1715 | |
| Not Available |
| Full Name | Restored Living Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8424 Old Harford Rd, Parkville, Maryland |
| Authorized Official Name and Position | Okpenze Felicia Ballard (CEO) |
| Authorized Official Contact | 9173782269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored Living Llc 3044 California Ave Parkville MD 21234-4141 Ph: (917) 378-2269 | Restored Living Llc 8424 Old Harford Rd Parkville MD 21234-4900 Ph: (410) 882-1715 |
| NPI Number | 1033893680 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033893680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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