Provider Demographics
NPI:1841698206
Name:THE APPRENTICE OF PEACE WELLNESS STUDIO
Entity type:Organization
Organization Name:THE APPRENTICE OF PEACE WELLNESS STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:XEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-789-9868
Mailing Address - Street 1:36 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1196
Mailing Address - Country:US
Mailing Address - Phone:720-789-9868
Mailing Address - Fax:
Practice Address - Street 1:36 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1196
Practice Address - Country:US
Practice Address - Phone:720-789-9868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health