Organization · NPI-2
Renew Recovery LLC Dba Hope'S Destiny
Clinic/Center, Adult Mental Health · Horsham, PA
NPI number1396502936
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1396502936
- Entity type
- Organization (NPI-2)
- Legal business name
- Renew Recovery LLC Dba Hope'S Destiny
- Organization subpart
- No
- Enumeration date
- Feb 29, 2024
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
601 Dresher Rd Ste 105Horsham, PA 19044-2202
Phone 215-780-4673 · Fax 215-486-0005
Mailing address
Hope'S Destiny 601 Dresher Road Ste #105Horsham, PA 19044
Phone 215-780-4673 · Fax 215-486-0005
Authorized official
Charles Roth
Founder And Ceo
3476230931
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