Renewed Behaviioral Health and Wellness
NPI #1205221934 in Temple Hills, Maryland
Provider Information
- NPI Number
- 1205221934
- Entity Type
- Organization
- Organization Name
- Renewed Behaviioral Health and Wellness
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 31, 2015
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 3914 21ST AVE
- City
- Temple Hills
- State
- Maryland
- ZIP Code
- 20748-4320
- Phone
- (757) 589-7677
Authorized Official
- Name
- KIMBERLY A DAVIS, LCPC
- Title
- CEO
- Phone
- (757) 589-7677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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