# KANSAS RENEWAL INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023876075
- **Authorized official:** MR. JOE TINERVIN MSW (PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (415) 450-0031

## Contact information

- **Practice address:** 401 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8797
- **Practice address phone:** (415) 450-0031
- **Mailing address:** 401 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 04/26/2024