Renew Integrated Program #2
NPI #1528292356 in La Puente, California
Provider Information
- NPI Number
- 1528292356
- Entity Type
- Organization
- Organization Name
- Renew Integrated Program #2
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 7, 2009
- Last Updated
- May 7, 2009
Practice Location
- Address
- 904 WILLOW AVE
- City
- La Puente
- State
- California
- ZIP Code
- 91746-1615
- Phone
- (626) 931-3000
Authorized Official
- Name
- MR. LAJA IBRAHEEM, M.D.
- Title
- CEO
- Phone
- (562) 426-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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