OrganizationActive
Restored Living LLC
NPI 1447079488 · Psychiatric/Mental Health Clinical Nurse Specialist · Parkville, MD
Provider details
- NPI number
- 1447079488
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Okpenze Okpenze, Ceo(917) 378-2269
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Community Health Registered Nurse163WC1500X
Nursing Service Providers
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Respite Care Camp385HR2050X
Respite Care Facility
Practice location
2484 Old Harford Roard
Parkville, MD 21234
Phone: (410) 882-1715
Approximate (ZIP-level) locationGet directions
Mailing address
3044 California Ave
Parkville, MD 21234-4141
Other names (DBA / former)
- Doing business as
- Restored Living LLC
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.