NPI | 1437624814 |
---|---|
Former Legal Business Name | RENEST RESIDENCY INC |
Doing Business As | RENEST |
Entity Type | Organization |
Authorized Contact | THERESA ANN WADDELL Executive Director 844-473-6378 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
175T00000X Peer Specialist | |
251B00000X Case Management | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2018-10-11 |
Last Update Date | 2025-03-14 |