| Renewed Life Recovery Llc | |
|
2555 S Dixie Dr Ste 284 Kettering OH 45409-1543 | |
| (937) 838-0169 | |
| Not Available |
| Full Name | Renewed Life Recovery Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2555 S Dixie Dr Ste 284, Kettering, Ohio |
| Authorized Official Name and Position | Kenyatta Robinson (OWNER) |
| Authorized Official Contact | 9378380169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Life Recovery Llc 2555 S Dixie Dr Ste 284 Kettering OH 45409-1543 Ph: () - | Renewed Life Recovery Llc 2555 S Dixie Dr Ste 284 Kettering OH 45409-1543 Ph: (937) 838-0169 |
| NPI Number | 1982413936 |
|---|---|
| Provider Enumeration Date | 01/04/2025 |
| Last Update Date | 01/04/2025 |
| Certification Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982413936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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