Provider Demographics
NPI:1821448218
Name:RENEW HEALTH SERVICES
Entity Type:Organization
Organization Name:RENEW HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHEVETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-209-9161
Mailing Address - Street 1:1615 POYDRAS ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-1254
Mailing Address - Country:US
Mailing Address - Phone:504-209-9161
Mailing Address - Fax:504-324-0214
Practice Address - Street 1:1615 POYDRAS ST
Practice Address - Street 2:SUITE 900
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1254
Practice Address - Country:US
Practice Address - Phone:504-209-9161
Practice Address - Fax:504-324-0214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health