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Contact Information

A RENEWED MIND
900 W SOUTH BOUNDARY ST BLDG 2
PERRYSBURG, OH43551-5230
 Phone: 419-873-8280
 Fax: 419-873-8320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for A RENEWED MIND

NPI Number 1487937066
LBN Legal business name A RENEWED MIND
Authorized official JAMES EARLE - (CLINICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2011
Last updated 09/21/2011 - About 15 years ago
Identifiers
OH License # C.0500399
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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