| Core Renewal Therapy Group Llc | |
|
572 Maplewood Ave Struthers OH 44471-1133 | |
| (330) 540-0086 | |
| Not Available |
| Full Name | Core Renewal Therapy Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | 572 Maplewood Ave, Struthers, Ohio |
| Authorized Official Name and Position | Nicolas Dean (OWNER) |
| Authorized Official Contact | 3305400086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Renewal Therapy Group Llc 572 Maplewood Ave Struthers OH 44471-1133 Ph: (330) 540-0086 | Core Renewal Therapy Group Llc 572 Maplewood Ave Struthers OH 44471-1133 Ph: (330) 540-0086 |
| NPI Number | 1700652997 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 6709302771 |
|---|---|
| Medicare Enrollment ID | O20250502001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700652997 | NPI | - | NPPES |
| Provider Name | Nicolas Mason Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194591388 PECOS PAC ID: 8426574492 Enrollment ID: I20250502001563 |
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