Organization
RENAISSANCE RELATIONS, INC
Active
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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