| Renaissance | |
|
830 W Lancaster Ave Bryn Mawr PA 19010-3218 | |
| (610) 527-3411 | |
| Not Available |
| Full Name | Renaissance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 830 W Lancaster Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Dyann Roth (CEO) |
| Authorized Official Contact | 2159510300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance 4700 Wissahickon Ave Suite 126 Philadelphia PA 19144-4248 Ph: () - | Renaissance 830 W Lancaster Ave Bryn Mawr PA 19010-3218 Ph: (610) 527-3411 |
| NPI Number | 1992175194 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992175194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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