| Renew Recovery Llc | |
|
1157 Rockside Rd # B2 Parma OH 44134-2767 | |
| (440) 879-1258 | |
| Not Available |
| Full Name | Renew Recovery Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1157 Rockside Rd # B2, Parma, Ohio |
| Authorized Official Name and Position | Rachel Petrick (TAX ID OWNER) |
| Authorized Official Contact | 4408791258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Recovery Llc 15400 Pearl Rd Ste 238 Strongsville OH 44136-6000 Ph: (440) 879-1258 | Renew Recovery Llc 1157 Rockside Rd # B2 Parma OH 44134-2767 Ph: (440) 879-1258 |
| NPI Number | 1811706922 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811706922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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