Organization
RENEWLIFE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON G JOHNSON (OWNER)
(434) 709-0232
Entity
Organization
Contact information
Practice address
1105 PINEY FOREST RD, DANVILLE, VA 24540-1505
(434) 709-0232
Mailing address
1105 PINEY FOREST RD, DANVILLE, VA 24540-1505
(434) 709-0232
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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