OrganizationActive
Renewed Life Center, LLC
NPI 1780877456 · Adult Mental Health Clinic/Center · Nampa, ID
Provider details
- NPI number
- 1780877456
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alan Nettles, Director(208) 467-4889
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
Ambulatory Health Care Facilities
Practice location
410 N. Kings Rd.
Suite 3
Nampa, ID 83687
Phone: (208) 467-4889
Fax: (208) 467-4499
Approximate (ZIP-level) locationGet directions
Mailing address
410 N. Kings Rd.
Nampa, ID 83687
Registry dates
- Enumerated
- 2007-08-24
- Last updated
- 2010-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.