Innovative Renewal Therapy Center LLC

NPI #1689140063 in Onancock, Virginia

Provider Information

NPI Number
1689140063
Entity Type
Organization
Organization Name
Innovative Renewal Therapy Center LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 23, 2018
Last Updated
Oct 23, 2018

Practice Location

Address
73 MARKET ST
ZIP Code
23417-4223
Phone
(804) 657-7344

Authorized Official

Name
EDWANA COTTMAN
Title
OWNER
Phone
(804) 657-7344

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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