Organization · Type 2 NPI

Life Renewal Services

Substance Use Disorder Rehabilitation Clinic/Center · Columbia, MD

NPI number 1013466937 Active

Practice location

10805 Hickory Ridge Rd, Suite 103
Columbia, MD 21044-3626

Fax (443) 821-3280

Mailing address

PO Box 1254
Westminster, MD 21158-5254

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

8 other providers at this address

Other substance use disorder rehabilitation clinic/center providers in Columbia

See all in Columbia →

About NPI 1013466937

Life Renewal Services's National Provider Identifier is 1013466937, issued on Oct 4, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Columbia, MD. The record was last updated on Oct 4, 2016.