Organization · Type 2 NPI
Re-New Life
Addiction (Substance Use Disorder) Counselor · Grain Valley, MO
NPI number
1740486711
Active
Practice location
33204 E. R.d. Mize Road
Grain Valley, MO 64029
Fax (816) 443-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1740486711
Re-New Life's National Provider Identifier is 1740486711, issued on Jun 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grain Valley, MO. The record was last updated on Aug 22, 2020.