| Renew Support Services Pllc | |
|
9332 Tibble Creek Way Charlotte NC 28227-6674 | |
| (980) 819-1842 | |
| Not Available |
| Full Name | Renew Support Services Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9332 Tibble Creek Way, Charlotte, North Carolina |
| Authorized Official Name and Position | Diana Torres (EXECUTIVE DIRECTOR-PSYCHOTHERAPIST) |
| Authorized Official Contact | 9808191842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Support Services Pllc 9332 Tibble Creek Way Charlotte NC 28227-6674 Ph: (980) 819-1842 | Renew Support Services Pllc 9332 Tibble Creek Way Charlotte NC 28227-6674 Ph: (980) 819-1842 |
| NPI Number | 1467900068 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467900068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C005627 (North Carolina) | Primary |
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