NPI 1023876075

Kansas Renewal Institute

Organisation Psychiatric Residential Treatment Facility Fort Scott, KS

Practice location

Address: 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797
Phone: (415) 450-0031

Authorised official

Name: Joe Tinervin
Title: President of Operations
Phone: (415) 450-0031

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

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Registry record

NPI: 1023876075
Entity type: Organization
NPI issued: 13 Mar 2024
Record last updated: 26 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.