| NPI | 1801416060 |
|---|---|
| Doing Business As | RENOVO WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DONALD W POPE Administrator 225-256-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-20 |