| NPI | 1689402919 |
|---|---|
| Former Legal Business Name | RENAISSANCE BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | FELITA ANANE Owner 718-813-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |