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Organization
REJUVENATING SOULS
Active
Organization
REJUVENATING SOULS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI L BROWN (OWNER)
(919) 441-3545
Entity
Organization
Contact information
Practice address
6925 OLD WAKE FOREST RD # B2, RALEIGH, NC 27616-3414
(919) 548-8162
Mailing address
PO BOX 28376, RALEIGH, NC 27611-8376
(919) 441-3545
(888) 280-4331
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/29/2025
Last updated
08/08/2026
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