Renaissance Ranch Heyburn
NPI #1114692373 in Heyburn, Idaho
Provider Information
- NPI Number
- 1114692373
- Entity Type
- Organization
- Organization Name
- Renaissance Ranch Heyburn
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 10, 2021
- Last Updated
- Aug 10, 2021
Practice Location
Authorized Official
- Name
- TYSON BLAINE DIXON
- Title
- OWNER
- Phone
- (801) 860-0118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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