Renaissance Recovery, Llc

LBN: Renaissance Recovery, Llc
Renaissance Recovery, Llc is an health care organization with primary practice located at 10175 Slater Avenue Suite 111 , Fountain Valley CA 92708-9270. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Renaissance Recovery, Llc can be contacted via phone (203) 450-8824, or through Petti, John via phone (949) 397-6095.

Contact Information

Primary practice address
10175 Slater Avenue Suite 111 Fountain Valley CA 92708-9270
Phone: (203) 450-8824
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petti, John
Phone: (949) 397-6095

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1891216511
LBN Legal business name Renaissance Recovery, Llc
DBA Doing business as
Authorized official Petti, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2017
Last updated Oct 16th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891216511 NPPES
California Other 201716410068 OUT OF NETWORK INSURANCE

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