Organization
RENEWAL HOUSE
Active
Organization
RENEWAL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD H PFEIFFER LMSW (EXECUTIVE ADMINISTRATOR)
(620) 231-5130
Entity
Organization
Contact information
Practice address
606 E ATKINSON AVE, PITTSBURG, KS 66762-2303
(620) 231-5141
Mailing address
911 E CENTENNIAL DR, PITTSBURG, KS 66762-6601
(620) 231-5130
(620) 235-7101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001132
BCBSKS
KS
Enumeration date
02/13/2006
Last updated
08/22/2020
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