| NPI | 1972360394 |
|---|---|
| Former Legal Business Name | RENEWED SOUL LLC |
| Entity Type | Organization |
| Authorized Contact | CARTER HARRIS Owner 720-656-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-11-09 |