| NPI | 1053389452 |
|---|---|
| Former Legal Business Name | RENAISSANCE RECOVERY CENTER INC |
| Entity Type | Organization |
| Authorized Contact | JOHN OFFIDANI Owner 561-588-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME55561) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0950ADA666) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH9732) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 208D00000X General Practice (Licence: FL OS8387) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL 10D2039250) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2016-09-28 |