OrganizationActive
Renewed Behaviioral Health and Wellness
NPI 1205221934 · Exclusive Provider Organization · Temple Hills, MD
Provider details
- NPI number
- 1205221934
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kimberly Davis, Ceo(757) 589-7677
- License
- LC5858 (MD)
Specialties & taxonomies
Managed Care Organizations
Practice location
3914 21st Ave
Temple Hills, MD 20748-4320
Phone: (757) 589-7677
Approximate (ZIP-level) locationGet directions
Mailing address
3914 21st Ave
Temple Hills, MD 20748-4320
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2015-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.