Organization Name: | RENEWED HOPE BEHAVIORAL HEALTH PC |
NPI Number: | 1053365015 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA ZULOVICH (OWNER) |
Mailing Address: | 15 Woodland Center Dr Grove City |
State: | PA US |
Postal Code: | 161274677 |
Phone Number: | 7244580811 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW012617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |