| NPI | 1437624814 |
|---|---|
| Former Legal Business Name | RENEST RESIDENCY INC |
| Doing Business As | RENEST |
| Entity Type | Organization |
| Authorized Contact | THERESA ANN WADDELL Executive Director 270-839-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 171M00000X Case Manager/Care Coordinator | |
| 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 | 2022-08-24 |