| Renaissance Treatment Center | |
|
525 Eastern Ave 2nd Floor Fairmount Heights MD 20743-1677 | |
| (301) 925-2255 | |
| (301) 925-2020 |
| Full Name | Renaissance Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 Eastern Ave, Fairmount Heights, Maryland |
| Authorized Official Name and Position | Andrea Syphax (ADMINISTRATOR) |
| Authorized Official Contact | 3019252255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Treatment Center Po Box 2966 Hyattsville MD 20784-0966 Ph: (301) 925-2255 | Renaissance Treatment Center 525 Eastern Ave 2nd Floor Fairmount Heights MD 20743-1677 Ph: (301) 925-2255 |
| NPI Number | 1396117610 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396117610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 104804 (Maryland) | Primary |
Vital Mind Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Eastern Ave Ste B3, Fairmount Heights, MD 20743 Phone: 703-980-0478 | |
Renaissancetreatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Eastern Ave Ste B3, Fairmount Heights, MD 20743 Phone: 301-925-2255 |