Renew Integrated Program-2 Incorporation
NPI #1891997847 in San Pedro, California
Provider Information
- NPI Number
- 1891997847
- Entity Type
- Organization
- Organization Name
- Renew Integrated Program-2 Incorporation
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jun 1, 2007
- Last Updated
- Apr 19, 2010
Practice Location
- Address
- 928 SOUTH PALOS VERDES STREET
- City
- San Pedro
- State
- California
- ZIP Code
- 90731
- Phone
- (562) 426-3300
Authorized Official
- Name
- LAJA I IBRAHEEM, MD
- Title
- OWNER
- Phone
- (562) 426-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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