Renew Integrated Program-2 Inc.
NPI #1033479993 in La Puente, California
Provider Information
- NPI Number
- 1033479993
- Entity Type
- Organization
- Organization Name
- Renew Integrated Program-2 Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 24, 2012
- Last Updated
- May 24, 2012
Practice Location
- Address
- 14135 FAIRGROVE AVE
- City
- La Puente
- State
- California
- ZIP Code
- 91746-1708
- Phone
- (562) 426-3300
Authorized Official
- Name
- DR. LAJA I. IBRAHEEM, MD
- Title
- OWNER
- Phone
- (562) 426-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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