Organization
LIFE RENEWAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN NIEBERDING LCPC (POLICY & COMMUNICATIONS SPECIALIST)
(717) 524-6187
Entity
Organization
Contact information
Practice address
247-249 EAST MAIN STREET, WESTMINSTER, MD 21157-5228
(410) 289-8149
(443) 821-3280
Mailing address
PO BOX 865, WESTMINSTER, MD 21158-0865
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
07/09/2024
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