| Renew Reentry House Llc | |
|
19410 Nw 7th Ct Miami Gardens FL 33169-3116 | |
| (305) 432-1569 | |
| Not Available |
| Full Name | Renew Reentry House Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 19410 Nw 7th Ct, Miami Gardens, Florida |
| Authorized Official Name and Position | Lorvie Janay Paul (OWNER) |
| Authorized Official Contact | 3054321569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Reentry House Llc 19410 Nw 7th Ct Miami Gardens FL 33169-3116 Ph: (305) 432-1569 | Renew Reentry House Llc 19410 Nw 7th Ct Miami Gardens FL 33169-3116 Ph: (305) 432-1569 |
| NPI Number | 1255019758 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255019758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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