Renewing Horizons Llc | |
2400 Old Brick Rd Ste 330 Glen Allen VA 23060-5841 | |
(804) 816-8283 | |
Not Available |
Full Name | Renewing Horizons Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2400 Old Brick Rd Ste 330, Glen Allen, Virginia |
Authorized Official Name and Position | Domico Phillips (CEO) |
Authorized Official Contact | 8048168283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renewing Horizons Llc 2400 Old Brick Rd Ste 321 Glen Allen VA 23060-5841 Ph: (804) 816-8283 | Renewing Horizons Llc 2400 Old Brick Rd Ste 330 Glen Allen VA 23060-5841 Ph: (804) 816-8283 |
NPI Number | 1013803865 |
---|---|
Provider Enumeration Date | 06/17/2025 |
Last Update Date | 06/17/2025 |
Certification Date | 06/17/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013803865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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