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RENAISSANCE RECOVERY SERVICES LLC NPI 1114175908


NPI Information

NPI: 1114175908
Provider Name: RENAISSANCE RECOVERY SERVICES, LLC

Doing Business As: RENAISSANCE MALIBU

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
30101 AGOURA CT LBBY 3
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 707-8102
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RENAISSANCE RECOVERY SERVICES, LLC is a substance abuse rehabilitation facility in Agoura Hills, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RENAISSANCE RECOVERY SERVICES, LLC NPI is 1114175908. The provider is registered as an organization entity type.
The provider Is Doing Business As Renaissance Malibu.

The provider's business location address is:

30101 AGOURA CT LBBY 3
AGOURA HILLS, CA
ZIP 91301-300
Phone: (818) 707-8102
Fax: (818) 707-8111

The provider's authorized official is Salvatore Petrucci .
The authorized official title is President and has the following contact phone number (818) 707-8102.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 9/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility190392BPCALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility190392APCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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