Provider Demographics
NPI:1043438369
Name:RENEWAL, INC.
Entity Type:Organization
Organization Name:RENEWAL, INC.
Other - Org Name:RENEWAL TREATMENT, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM SUPERVISER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-697-0110
Mailing Address - Street 1:312 BLVD OF THE ALLIES
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1917
Mailing Address - Country:US
Mailing Address - Phone:412-690-2400
Mailing Address - Fax:412-690-2448
Practice Address - Street 1:312 BLVD OF THE ALLIES
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1917
Practice Address - Country:US
Practice Address - Phone:412-690-2400
Practice Address - Fax:412-690-2448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA707226324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility