| NPI | 1396321410 |
|---|---|
| Doing Business As | SENIOR RENEWAL: MURPHYSBORO |
| Entity Type | Organization |
| Authorized Contact | GLENDA F GUY Director Compliance 931-607-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |