RENAISSANCE BEHAVIORAL HEALTH NPI 1689402919

NPI Information

  • NPI: 1689402919
  • Provider Name: RENAISSANCE BEHAVIORAL HEALTH
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Former Legal Business Name: RENAISSANCE BEHAVIORAL HEALTH LLC
  • Address: 720 N LAKEWOOD AVE
    BALTIMORE, MD
    ZIP 21205
  • Phone: (718) 813-7185

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NPI Details

RENAISSANCE BEHAVIORAL HEALTH is a substance abuse rehabilitation facility in Baltimore, MD. 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 BEHAVIORAL HEALTH NPI is 1689402919. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Renaissance Behavioral Health Llc.

The provider's business location address is:

720 N LAKEWOOD AVE
BALTIMORE, MD
ZIP 21205-638
Phone: (718) 813-7185

The provider's authorized official is Felita Anane .
The authorized official title is Owner and has the following contact phone number (443) 442-7249.

The enumeration date for this NPI number is 7/26/2024 and was last updated on 1/3/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 3/30/2025

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