Family Renewed, LLC
NPI #1225404551 in Caseyville, Illinois
Provider Information
- NPI Number
- 1225404551
- Entity Type
- Organization
- Organization Name
- Family Renewed, LLC
- Primary Specialty
- Psychiatry & Neurology - Child & Adolescent Psychiatry
- Enumeration Date
- Aug 21, 2015
- Last Updated
- Aug 21, 2015
Practice Location
- Address
- 1004 PEBBLE BEACH DR
- City
- Caseyville
- State
- Illinois
- ZIP Code
- 62232-2834
- Phone
- (913) 461-0369
Authorized Official
- Name
- DR. DAWN MICHELLE PORTER, MD
- Title
- FOUNDER/CEO
- Phone
- (913) 461-0369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
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