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THE RENFREW CENTER, INC.

Residential Treatment Facilities Psychiatric Residential Treatment Facility

Provider NPI: 1497854137

Organization Information:
Organization Name:  THE RENFREW CENTER, INC.
Organization is not Subpart
Authorized Official:  SAMUEL E. MENAGED  CHIEF EXECUTIVE OFFICER  215-482-5353

Practice Location:
1445 E. PUTNAM AVENUE 1ST FLOOR OLD GREENWICH, CT 06870 US
Tel: 203-834-5020  Fax: 203-563-9936

Business Mailing Address:
8945 RIDGE AVENUE #R  PHILADELPHIA, PA 19128 US
Tel: 215-482-5353  Fax: 215-487-3972

NPI Information:
NPI: 1497854137
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N323P00000XResidential Treatment Facilities
Psychiatric Residential Treatment Facility
CT0000-0036
N261QM0855XAmbulatory Health Care Facilities
Clinic/Center
Y261QM0850XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QM0850X

Type:

Classification:



Definition:



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