Provider Demographics
NPI:1326808700
Name:RENWICK RECOVERY INC
Entity Type:Organization
Organization Name:RENWICK RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:845-391-7817
Mailing Address - Street 1:131 MILL ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5834
Mailing Address - Country:US
Mailing Address - Phone:845-569-0775
Mailing Address - Fax:845-568-3253
Practice Address - Street 1:131 MILL ST
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5834
Practice Address - Country:US
Practice Address - Phone:845-569-0775
Practice Address - Fax:845-568-3253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children