RENEW INTEGRATED PROGRAM-2 INC
Agencies at Firestone Blvd, Norwalk, CA

License number
California A66124
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. LAJA I IBRAHEEM MD
Title: EXECUTIVE DIRECTOR
Phone: (562) 426-3300
Address
Address 2
11859 Firestone Blvd, Norwalk, CA 90650
PO Box 20140, Long Beach, CA 90801
National Provider ID: 1205277274
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RENEW INTEGRATED PROGRAM-2, INC

PO Box 20140, Long Beach, CA 90801

Registration:
Sep 1, 2005
State ID:
C2801306
Agent:
Laja Ibraheem,Long Beach, CA 90807 (Physical)

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