Healthcare Provider Details

I. General information

NPI: 1225940307
Provider Name (Legal Business Name): RENEWU WELLNESS & RECOVERY OF PENNSYLVANIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E MARKET ST STE 102
YORK PA
17401-1618
US

IV. Provider business mailing address

2301 HUDSON CT
YORK PA
17403-1315
US

V. Phone/Fax

Practice location:
  • Phone: 717-400-1242
  • Fax:
Mailing address:
  • Phone: 717-400-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. RAY HALL
Title or Position: OWNER
Credential:
Phone: 410-493-0324