| Renew Integrated Program-2 Inc. | |
|
14135 Fairgrove Ave La Puente CA 91746-1708 | |
| (562) 426-3300 | |
| (562) 637-3244 |
| Full Name | Renew Integrated Program-2 Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14135 Fairgrove Ave, La Puente, California |
| Authorized Official Name and Position | Laja I. Ibraheem (OWNER) |
| Authorized Official Contact | 5624263300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Integrated Program-2 Inc. 4000 Long Beach Blvd 228 Long Beach CA 90807-2617 Ph: (562) 426-3300 | Renew Integrated Program-2 Inc. 14135 Fairgrove Ave La Puente CA 91746-1708 Ph: (562) 426-3300 |
| NPI Number | 1033479993 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033479993 | NPI | - | NPPES |
| 7205 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A66124 (California) | Primary |
Los Angeles County Department Of Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15615 Nelson Avenue E, La Puente, CA 91744 Phone: 626-934-6700 | |
Renew Integrated Program-2 Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Vineland Ave, La Puente, CA 91746 Phone: 562-426-3300 Fax: 562-637-3244 | |
Baart Programs La Puente Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15229 Amar Rd, La Puente, CA 91744 Phone: 626-855-5090 Fax: 626-961-1810 | |
Enki Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 Fax: 626-961-6685 | |
La Puenta Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 S 3rd Ave, La Puente, CA 91746 Phone: 629-559-1592 | |
Grandview Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Grandview Ln, La Puente, CA 91744 Phone: 626-993-3000 Fax: 626-993-3084 |