Project Renew

NPI #1124336193 in San Clemente, California

Provider Information

NPI Number: 1124336193
Entity Type: Organization
Organization Name: Project Renew
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE SERVICE CORPORATION
Primary Specialty: Case Management
Enumeration Date: Sep 23, 2010
Last Updated: Jul 21, 2022

Practice Location

Address: 315 AVENIDA SANTA BARBARA
Address 2: UNIT D
City: San Clemente
State: California
ZIP Code: 92672-5357
Phone: (562) 631-5881

Authorized Official

Name: MELISSA FAITH WHITE
Title: INTERN
Phone: (562) 631-5881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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