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Organization
RENEWED LIFE RECOVERY LLC
Active
Organization
RENEWED LIFE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA ROBINSON (OWNER)
(937) 838-0169
Entity
Organization
Contact information
Practice address
2555 S DIXIE DR STE 284, KETTERING, OH 45409-1543
(937) 838-0169
Mailing address
2555 S DIXIE DR STE 284, KETTERING, OH 45409-1543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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