NPI | 1235785726 |
---|---|
Doing Business As | WELLNESS RENEWAL CENTER |
Entity Type | Organization |
Authorized Contact | CHARLES KEVIN BLACKMON President 336-210-0893 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-08-12 |
Last Update Date | 2019-08-12 |