Renew Integrated Program-2 INC
NPI #1669811006 in Highland Park, California
Provider Information
- NPI Number
- 1669811006
- Entity Type
- Organization
- Organization Name
- Renew Integrated Program-2 INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 19, 2013
- Last Updated
- Aug 19, 2013
Practice Location
- Address
- 5306 FIGUEROA AVE.
- City
- Highland Park
- State
- California
- ZIP Code
- 90042-4004
- Phone
- (562) 426-3300
Authorized Official
- Name
- DR. LAJA I IBRAHEEM, MD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (562) 426-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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