Renaissance Healthcare LLC

NPI #1235311192 in Minden, Louisiana

Provider Information

NPI Number: 1235311192
Entity Type: Organization
Organization Name: Renaissance Healthcare LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 3, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 801 SHREVEPORT RD
City: Minden
State: Louisiana
ZIP Code: 71055-3829
Phone: (318) 377-2233

Authorized Official

Name: MR. JAMES A JOUBERT JR.
Title: MEMBER/MANAGER
Phone: (225) 387-5585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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