Renaissance Ranch

NPI #1710154992 in Bluffdale, Utah

Provider Information

NPI Number
1710154992
Entity Type
Organization
Organization Name
Renaissance Ranch
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 15, 2008
Last Updated
May 15, 2008

Practice Location

Address
2829 W 13800 S
State
Utah
ZIP Code
84065-5902
Phone
(801) 545-0406

Authorized Official

Name
MR. HR BROWN, LSAC
Title
EXECUTIVE DIRECTOR
Phone
(801) 545-0406

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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