Organization
RENAISSANCE HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE FUGATE (FINANCE DIRECTOR)
(734) 439-0464
Entity
Organization
Contact information
Practice address
601 PEARL ST, YPSILANTI, MI 48197-2616
(734) 485-1722
Mailing address
PO BOX 749, ADRIAN, MI 49221-0749
(734) 439-0464
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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