| Organization Name: | LIFE RENEWAL SERVICES, INC |
| NPI Number: | 1326249335 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN K BYRD (CEO) |
| Mailing Address: | 6940 Tudsbury Rd Windsor Mill |
| State: | MD US |
| Postal Code: | 212442674 |
| Phone Number: | 4102778910 |
| Fax Number: | 4102778911 |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |