Renaissance South La | |
19401 S Vermont Ave Suite C-100 Torrance CA 90502-1029 | |
(855) 700-7752 | |
Not Available |
Full Name | Renaissance South La |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 19401 S Vermont Ave, Torrance, California |
Authorized Official Name and Position | Henry R. Armstrong (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3238726352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Renaissance South La 19401 S Vermont Ave Suite C-100 Torrance CA 90502-1029 Ph: () - | Renaissance South La 19401 S Vermont Ave Suite C-100 Torrance CA 90502-1029 Ph: (855) 700-7752 |
NPI Number | 1649600834 |
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Provider Enumeration Date | 11/25/2013 |
Last Update Date | 04/12/2017 |
Identifier | Type | State | Issuer |
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1649600834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | 190796AN (California) | Primary |
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