Organization · Type 2 NPI

Renewed Life Center, LLC

Adult Mental Health Clinic/Center · Nampa, ID

NPI number 1780877456 Active

Practice location

410 N. Kings Rd., Suite 3
Nampa, ID 83687

Fax (208) 467-4499

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1780877456

Renewed Life Center, LLC's National Provider Identifier is 1780877456, issued on Aug 24, 2007. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Nampa, ID. The record was last updated on Jun 24, 2010.