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RENAISSANCE ADDICTION SERVICES INC. NPI 1699197053


NPI Information

NPI: 1699197053
Provider Name: RENAISSANCE ADDICTION SERVICES, INC.
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 33D2158433

Address:
920 HARLEM RD
WEST SENECA, NY
ZIP 14224
Phone: (716) 827-9462
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RENAISSANCE ADDICTION SERVICES, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in West Seneca, NY. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. RENAISSANCE ADDICTION SERVICES, INC. NPI is 1699197053. The provider is registered as an organization entity type.

The provider's business location address is:

920 HARLEM RD
WEST SENECA, NY
ZIP 14224-008
Phone: (716) 827-9462
Fax: (716) 827-6465

The provider's authorized official is Robin Ann Clouden .
The authorized official title is Executive Director and has the following contact phone number (716) 827-9462.

The CLIA number assigned to this NPI record is 33D2158433 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2014 and was last updated on 1/20/2014.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenE140311830NEW YORKYes

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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