| NPI | 1740670785 |
|---|---|
| Doing Business As | RENEW BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | EUGENE SISCO Managing Member 606-653-1505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 800139) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |