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Organization

RENAISSANCE RELATIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RASAQ SARUMI (OWNER)
(404) 822-0946
Entity
Organization

Contact information

Practice address
540 MCKENZIE AVE, STOCKBRIDGE, GA 30281-6720
(404) 822-0946
Mailing address
540 MCKENZIE AVE, STOCKBRIDGE, GA 30281-6720
(404) 822-0946

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
175T00000X
Peer Specialist
251S00000X
Community/Behavioral Health Agency
Primary
347C00000X
Private Vehicle
309730029
GA
347E00000X
Transportation Broker
309730029
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003210772A
GA
Enumeration date
07/30/2018
Last updated
10/22/2022
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