| Emerging Renewal, Llc | |
|
1722 171st St Hammond IN 46324-2116 | |
| (773) 981-5039 | |
| Not Available |
| Full Name | Emerging Renewal, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1722 171st St, Hammond, Indiana |
| Authorized Official Name and Position | Billie Joiner (OWNER) |
| Authorized Official Contact | 7739815039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerging Renewal, Llc 1722 171st St Hammond IN 46324-2116 Ph: (773) 981-5039 | Emerging Renewal, Llc 1722 171st St Hammond IN 46324-2116 Ph: (773) 981-5039 |
| NPI Number | 1306563416 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306563416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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