NPI | 1992534648 |
---|---|
Doing Business As | RENEWED HOPE HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER MILES FISH Medical Director 269-207-2369 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2024-07-31 |
Last Update Date | 2024-07-31 |