Provider Demographics
NPI:1093940405
Name:THE RENFREW CENTERS, INC.
Entity Type:Organization
Organization Name:THE RENFREW CENTERS, INC.
Other - Org Name:THE RENFREW CENTER OF MARYLAND, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MENAGED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-482-5353
Mailing Address - Street 1:4416 EAST-WEST HIGHWAY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-656-4600
Mailing Address - Fax:301-656-4601
Practice Address - Street 1:4416 EAST-WEST HIGHWAY
Practice Address - Street 2:SUITE 350
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-656-4600
Practice Address - Fax:301-656-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health