Renewal

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RENEWAL

Practice address

672 S la Fayette Park PL
Los Angeles, CA 91607

Phone

(917) 374-4215

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Elliot Liebhard

Title

Administrator

Phone

(917) 374-4215

Specialties & licenses 1

Addresses

Tax ID family

Renewal2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renewal Sobriety

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Hollywood, CA
  • NPI 1063962660
  NPD tax ID

Locations

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1174072003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 BLUEBELL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "91607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 S LA FAYETTE PARK PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "917-374-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "LIEBHARD",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-374-4215"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Integrated Program-2 Inc
• Renew Integrated Program-2 Inc
• Renew Integrated Program-2 Inc.
• Renew Integrated Program-2 Inc.
• Renew Integrated Program-2 Inc.
• Renewed Freedom Center for Rapid Anxiety Relief
• Renewed Horizons
• Renewed Relationships Counseling Group
• Renewed Spot
• Renewyourmind, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.