| Re-new Life | |
|
33204 E. R.d. Mize Road Grain Valley MO 64029 | |
| (816) 443-3311 | |
| (816) 443-3311 |
| Full Name | Re-new Life |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 33204 E. R.d. Mize Road, Grain Valley, Missouri |
| Authorized Official Name and Position | Charles P Neely (CEO) |
| Authorized Official Contact | 8164433311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Re-new Life 33204 E. R.d. Mize Road Grain Valley MO 64029 Ph: (816) 443-3311 | Re-new Life 33204 E. R.d. Mize Road Grain Valley MO 64029 Ph: (816) 443-3311 |
| NPI Number | 1740486711 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740486711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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