OrganizationActive
Renew Integrated Program #2
NPI 1528292356 · Addiction (Substance Use Disorder) Counselor · La Puente, CA
Provider details
- NPI number
- 1528292356
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Laja Ibraheem, Ceo(562) 426-3300
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
904 Willow Ave
La Puente, CA 91746-1615
Phone: (626) 931-3000
Street-level locationGet directions
Mailing address
4000 Long Beach Blvd # 228
Long Beach, CA 90807-2617
Registry dates
- Enumerated
- 2009-05-07
- Last updated
- 2009-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.