Provider Demographics
NPI:1962534214
Name:RENEWAL TREATMENT, INC.
Entity type:Organization
Organization Name:RENEWAL TREATMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GALUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-697-1652
Mailing Address - Street 1:700 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-3017
Mailing Address - Country:US
Mailing Address - Phone:412-690-2445
Mailing Address - Fax:412-690-2448
Practice Address - Street 1:326 3RD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1945
Practice Address - Country:US
Practice Address - Phone:412-690-2445
Practice Address - Fax:412-690-2448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA707212324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007315360006Medicaid