Organization
THE RENAISSANCE PROJECT INC PORT CHESTER
Active
Parent organization
THE RENAISSANCE PROJECT INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE RENAISSANCE PROJECT INC
Authorized official
MRS. PAULA PRESTON (OFFICE MGR.)
(914) 345-1312
Entity
Organization
Contact information
Practice address
132 PEARL ST, PORT CHESTER, NY 10573-7614
(914) 939-2700
(914) 939-5352
Mailing address
132 PEARL ST, PORT CHESTER, NY 10573-7614
(914) 939-2700
(914) 939-5352
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
130211068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302538
—
NY
Enumeration date
02/03/2011
Last updated
02/03/2011
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