| NPI | 1144637232 |
|---|---|
| Doing Business As | RENEW ADDICTION TREATMENT |
| Entity Type | Organization |
| Authorized Contact | EUGENE SISCO Administrator 606-653-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |