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Organization
RENEW BEHAVIORAL HEALTH
Active
Organization
RENEW BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HERNANDEZ LMFT CALIFORNIA (DIRECTOR/PARTNER)
(949) 813-5161
Entity
Organization
Contact information
Practice address
1431 ENCHANTE WAY, OCEANSIDE, CA 92056-5675
(949) 813-5161
Mailing address
1431 ENCHANTE WAY, OCEANSIDE, CA 92056-5675
(949) 813-5161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001372496
MO
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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