Organization
KANSAS RENEWAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE TINERVIN MSW (PRESIDENT OF OPERATIONS)
(415) 450-0031
Entity
Organization
Contact information
Practice address
401 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8797
(415) 450-0031
Mailing address
401 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8797
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
04/26/2024
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