Organization
RENEWED LIFE TREATMENT CENTER. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA OGBEIDE RN (EXECUTIVE DIRECTOR)
(626) 793-0519
Entity
Organization
Contact information
Practice address
1855 E COLORADO BLVD, BLDG. B, PASADENA, CA 91107-3554
(626) 793-0519
Mailing address
1855 E COLORADO BLVD, BLDG. B, PASADENA, CA 91107-3554
(626) 793-0519
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
Other
Enumeration date
08/23/2008
Last updated
11/19/2009
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