Organization
RENOUVEAU RECOVERY
Active
Other names
Serenity Northshore
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC DAVID MCVICKER (OWNER)
(202) 674-2337
Entity
Organization
Contact information
Practice address
603 TOPS L DR, MANDEVILLE, LA 70448-6801
(202) 674-2337
Mailing address
603 TOPS L DR, MANDEVILLE, LA 70448-6801
(202) 674-2337
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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