Organization · Type 2 NPI
Renewed Light LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · West Deptford, NJ
NPI number
1104578889
Active
Practice location
1225 N Broad St Ste 1
West Deptford, NJ 08096-1203
Fax (856) 861-1216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in West Deptford
About NPI 1104578889
Renewed Light LLC's National Provider Identifier is 1104578889, issued on Jan 24, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in West Deptford, NJ. The record was last updated on Jan 24, 2022.