Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1255271078 |
| LBN Legal business name | YOUTH & TEEN RENOVATIONS |
| Authorized official | RENEE WIGGINS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/31/2026 |
| Last updated | 04/03/2026 - About 2 months ago |
| Identifiers | n/a |
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YOUTH & TEEN RENOVATIONS
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