Organization
RENAISSANCE ADDICTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN ANN CLOUDEN (EXECUTIVE DIRECTOR)
(716) 827-9462
Entity
Organization
Contact information
Practice address
920 HARLEM RD, WEST SENECA, NY 14224-1008
(716) 827-9462
(716) 827-6465
Mailing address
PO BOX 643, WEST SENECA, NY 14224-0643
(716) 827-6432
(716) 827-9565
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
E140311830
NY
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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