| Renewal Health Group | |
|
4755 Amigo Ave Tarzana CA 91356-4501 | |
| (760) 409-1287 | |
| Not Available |
| Full Name | Renewal Health Group |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4755 Amigo Ave, Tarzana, California |
| Authorized Official Name and Position | Amy Crichton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7602003839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Health Group 203 S Orange Dr Los Angeles CA 90036-3010 Ph: (760) 409-1287 | Renewal Health Group 4755 Amigo Ave Tarzana CA 91356-4501 Ph: (760) 409-1287 |
| NPI Number | 1972169605 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972169605 | NPI | - | NPPES |
| 190042BP | Other | CA | DEPARTMENT OF HEALTH CARE SERVICES |
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