| NPI | 1508335415 |
|---|---|
| Former Legal Business Name | REJUVENATION HOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN MARTIN SWAILS Owner/Clinical Director 919-377-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2023-07-27 |