Provider Demographics
NPI:1194997650
Name:RENJEF ENTERPRISES INC.
Entity type:Organization
Organization Name:RENJEF ENTERPRISES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENATE
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:STARROFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-736-1930
Mailing Address - Street 1:PO BOX 569
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-0569
Mailing Address - Country:US
Mailing Address - Phone:360-736-1930
Mailing Address - Fax:360-736-7782
Practice Address - Street 1:1018 MELLEN ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-1172
Practice Address - Country:US
Practice Address - Phone:360-736-1930
Practice Address - Fax:360-736-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty