Organization
RENEW FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BARDOUTSOS (MANAGING PARTNER)
(570) 239-8607
Entity
Organization
Contact information
Practice address
8080 OLD YORK RD STE 224, ELKINS PARK, PA 19027-1426
(267) 626-2018
(267) 636-5205
Mailing address
8080 OLD YORK RD STE 224, ELKINS PARK, PA 19027-1426
(267) 626-2018
(267) 636-5205
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
08/01/2024
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