Renaissance Ranch Outpatient Treatment

NPI #1518324383 in Orem, Utah

Provider Information

NPI Number
1518324383
Entity Type
Organization
Organization Name
Renaissance Ranch Outpatient Treatment
Subpart
Yes (part of a larger organization)
Parent Organization
RENAISSANCE RANCH OUTPATIENT TREATMENT
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jan 25, 2016
Last Updated
Jan 25, 2016

Practice Location

Address
265 W CENTER ST
City
Orem
State
Utah
ZIP Code
84057-4611
Phone
(801) 572-4325

Authorized Official

Name
CHERYL WACK
Title
BILLING MANAGER
Phone
(801) 381-2928

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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