Renaissance Ranch Outpatient Treatment
NPI #1700243573 in Farmington, Utah
Provider Information
- NPI Number
- 1700243573
- 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
- 1466 N HIGHWAY 89 STE 230
- City
- Farmington
- State
- Utah
- ZIP Code
- 84025-2738
- 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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