| NPI | 1548617970 |
|---|---|
| Doing Business As | RENEW LIFE PATH |
| Entity Type | Organization |
| Authorized Contact | JON MARBOIS-SEGALL Owner 828-242-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC CSAC-20579) |
| Additional Taxonomies | 251B00000X Case Management |
| 305S00000X Point of Service | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-09-13 |