Organization
RENAISSANCE SOUTH LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY R. ARMSTRONG III MBA (EXECUTIVE DIRECTOR)
(323) 872-6352
Entity
Organization
Contact information
Practice address
19401 S VERMONT AVE, SUITE C-100, TORRANCE, CA 90502-1029
(855) 700-7752
Mailing address
19401 S VERMONT AVE, SUITE C-100, TORRANCE, CA 90502-1029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
190796AN
CA
Other
Enumeration date
11/25/2013
Last updated
04/12/2017
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