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Organization

RENEW PSYCHIATRIC CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT SNADER (GENERAL PARTNER)
(954) 552-5100
Entity
Organization

Contact information

Practice address
3170 N FEDERAL HWY STE 206B, LIGHTHOUSE POINT, FL 33064-6720
(954) 522-5100
Mailing address
3170 N FEDERAL HWY STE 206B, LIGHTHOUSE POINT, FL 33064-6720

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103TB0200X
Cognitive & Behavioral Psychologist
Primary
133V00000X
Registered Dietitian
207QA0505X
Adult Medicine Physician
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician

Other

Enumeration date
07/01/2020
Last updated
09/17/2020
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