Renaissance Ranch Bluffdale Men's Program

NPI #1568909117 in Bluffdale, Utah

Provider Information

NPI Number
1568909117
Entity Type
Organization
Organization Name
Renaissance Ranch Bluffdale Men's Program
Subpart
Yes (part of a larger organization)
Parent Organization
AWAKENING BEHAVIORAL HEALTH
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jan 20, 2017
Last Updated
Feb 2, 2017

Practice Location

Address
2973 W 13800 S
State
Utah
ZIP Code
84065-8202
Phone
(801) 545-0406

Authorized Official

Name
WENDY PATTON, LSUDC
Title
ADMINISTATIVE DIRECTOR
Phone
(801) 856-7836

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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