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NPI Profile for RENEWLIFE RECOVERY LLC in DANVILLE, VA.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Behavioral Neurology & Neuropsychiatry |
2084B0040X |
| NPI # | 1790648582 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/08/2025 | |
| Last updated | 12/08/2025 - About 6 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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RENEWLIFE RECOVERY LLC
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RENEWLIFE RECOVERY LLC