Renaissance House Inc.

NPI #1720810609 in Ypsilanti, Michigan

Provider Information

NPI Number: 1720810609
Entity Type: Organization
Organization Name: Renaissance House Inc.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 601 PEARL ST
City: Ypsilanti
State: Michigan
ZIP Code: 48197-2616
Phone: (734) 485-1722

Authorized Official

Name: MR. JESSE FUGATE
Title: FINANCE DIRECTOR
Phone: (734) 439-0464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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