Organization
RENAISSANCE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DORFMAN M.D. (OWNER)
(610) 458-8036
Entity
Organization
Contact information
Practice address
74 POTTSTOWN PIKE, 1001, CHESTER SPRINGS, PA 19425-9519
(610) 458-8036
Mailing address
74 POTTSTOWN PIKE, 1001, CHESTER SPRINGS, PA 19425-9519
(610) 458-8036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC004013
PA
1041C0700X
Clinical Social Worker
CW014486
PA
2084P0800X
Psychiatry Physician
Primary
MD050324L
PA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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