| NPI | 1811452188 |
|---|---|
| Doing Business As | RENEWED LIFE COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | NIKISHA LYNNETTE SIMMONS-MACLIN Executive Director 612-636-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |