Organization
RENEWAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RUIZ PMHNP-BC (CEO)
(347) 504-1182
Entity
Organization
Contact information
Practice address
44 COURT ST STE 12171084, BROOKLYN, NY 11201-4405
(347) 504-1182
Mailing address
44 COURT ST STE 12171084, BROOKLYN, NY 11201-4405
(347) 504-1182
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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