RENEWED LIFE CENTER LLC NPI 1780877456

NPI Information

NPI: 1780877456
Provider Name: RENEWED LIFE CENTER, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
410 N. KINGS RD.
SUITE 3
NAMPA, ID
ZIP 83687
Phone: (208) 467-4889
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RENEWED LIFE CENTER, LLC is an adult mental health clinic center in Nampa, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RENEWED LIFE CENTER, LLC NPI is 1780877456. The provider is registered as an organization entity type.

The provider's business location address is:

410 N. KINGS RD.
SUITE 3
NAMPA, ID
ZIP 83687
Phone: (208) 467-4889
Fax: (208) 467-4499

The provider's authorized official is Alan Alan Nettles .
The authorized official title is Director and has the following contact phone number (208) 467-4889.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 6/24/2010.

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	Primary
1	251B00000X	Case Management		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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: 11/14/2023

NPI Synchronization or Removal

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