Christus Life Renewal Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHRISTUS LIFE RENEWAL CENTER

Practice address

7300 W McNab Rd
Tamarac, FL 33321-5300

Phone

(954) 200-3409

NPI assigned

Jul 2, 2010

Organization subpart

Yes

Parent organization

FRUIT OF THE SPIRIT MINISTRYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Valerie Vanessa Hammond

Title

Ceo

Phone

(954) 200-3409

Specialties & licenses 1

Addresses

Other names 1

• Fruit of the Spirit Ministry Other name

Part of

Christus Life Renewal Center

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1134431364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772836",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330772836",
            "telephone_number": "954-200-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215300",
            "telephone_number": "954-200-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS LIFE RENEWAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRUIT OF THE SPIRIT MINISTRY",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-200-3409",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fruit of the Spirit Ministry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kamlesh Christian, PHARM. D.
• Ingrid Ann Chung, LPN
• Lira Christine Ciappesoni, AP, DOM
• Katherine Castro Cipriano, LCSW
• City for Life Wellness Clinic LLC
• City of Tamarac

• All providers in Tamarac, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.