| Renaissance Relations, Inc | |
|
540 Mckenzie Ave Stockbridge GA 30281-6720 | |
| (404) 822-0946 | |
| Not Available |
| Full Name | Renaissance Relations, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 540 Mckenzie Ave, Stockbridge, Georgia |
| Authorized Official Name and Position | Rasaq Sarumi (OWNER) |
| Authorized Official Contact | 4048220946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Relations, Inc 540 Mckenzie Ave Stockbridge GA 30281-6720 Ph: (404) 822-0946 | Renaissance Relations, Inc 540 Mckenzie Ave Stockbridge GA 30281-6720 Ph: (404) 822-0946 |
| NPI Number | 1265910632 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 10/22/2022 |
| Certification Date | 10/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265910632 | NPI | - | NPPES |
| 003210772A | Medicaid | GA |
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