Organization
THE RENAISSANCE PROJECT JAN PEEK
Active
Parent organization
THE RENAISSANCE PROJECT INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE RENAISSANCE PROJECT INC.
Authorized official
PAULA PRESTON (OFFICE MGR)
(914) 345-1312
Entity
Organization
Contact information
Practice address
200 N WATER ST, PEEKSKILL, NY 10566-2057
(914) 788-1701
(914) 788-1702
Mailing address
250 CLEARBROOK RD, ELMSFORD, NY 10523-1305
(914) 345-1312
(914) 345-1318
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302538
—
NY
Enumeration date
03/01/2011
Last updated
03/01/2011
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