Organization
RENEW PATH RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA JONES (CEO)
(310) 926-6318
Entity
Organization
Contact information
Practice address
8118 PHILADELPHIA RD, ROSEDALE, MD 21237-2849
(310) 926-6318
Mailing address
8118 PHILADELPHIA RD, ROSEDALE, MD 21237-2849
(310) 926-6318
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up