Organization · Type 2 NPI

Renew Integrated Program-2 Incorporation

Substance Use Disorder Rehabilitation Clinic/Center · San Pedro, CA

NPI number 1891997847 Active

Practice location

928 South Palos Verdes Street
San Pedro, CA 90731

Fax (562) 637-3244

Mailing address

PO Box 20140
Long Beach, CA 90801-3140

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X190484BP (CA)

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

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About NPI 1891997847

Renew Integrated Program-2 Incorporation's National Provider Identifier is 1891997847, issued on Jun 1, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in San Pedro, CA. The record was last updated on Apr 19, 2010.