Healthcare Provider Details

I. General information

NPI: 1093940405
Provider Name (Legal Business Name): THE RENFREW CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4416 EAST-WEST HIGHWAY SUITE 350
BETHESDA MD
20814
US

IV. Provider business mailing address

4416 EAST-WEST HIGHWAY SUITE 350
BETHESDA MD
20814
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-4600
  • Fax: 301-656-4601
Mailing address:
  • Phone: 301-656-4600
  • Fax: 301-656-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL E. MENAGED
Title or Position: CEO
Credential:
Phone: 215-482-5353