| Purposeful Renewal, A Licensed Clinical Social Worker, Inc. | |
|
22248 Main St Hayward CA 94541-4005 | |
| (510) 600-3727 | |
| Not Available |
| Full Name | Purposeful Renewal, A Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 22248 Main St, Hayward, California |
| Authorized Official Name and Position | Ina Kwofie (OWNER) |
| Authorized Official Contact | 5106003727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Renewal, A Licensed Clinical Social Worker, Inc. 22248 Main St Hayward CA 94541-4005 Ph: () - | Purposeful Renewal, A Licensed Clinical Social Worker, Inc. 22248 Main St Hayward CA 94541-4005 Ph: (510) 600-3727 |
| NPI Number | 1467018515 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467018515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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