NPI | 1952988115 |
---|---|
Doing Business As | SENIOR RENEWAL CENTER: JENNINGS |
Entity Type | Organization |
Authorized Contact | KARISSA HUTSON Business Office 931-319-4231 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-03-25 |
Last Update Date | 2021-03-25 |