Renewed Community Services, LLC
Case Management in San Antonio, TX. Organization (NPI-2).
NPI number1275212946
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1275212946
- Entity type
- Organization (NPI-2)
- Legal business name
- Renewed Community Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2023
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
4846 Dahlia TerSan Antonio, TX 78218-2731
Phone 804-481-1977
Mailing address
4846 Dahlia TerSan Antonio, TX 78218-2731
Phone 804-481-1977
Authorized official
Demitric White
Coo
8044811977
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