Renaissance Ranch Idaho
NPI #1801649090 in Rupert, Idaho
Provider Information
- NPI Number
- 1801649090
- Entity Type
- Organization
- Organization Name
- Renaissance Ranch Idaho
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AWAKENING BEHAVIORAL HEALTH
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 8, 2024
- Last Updated
- Apr 8, 2024
Practice Location
Authorized Official
- Name
- ELLY GOLESH
- Title
- ADMINISTRATION
- Phone
- (385) 321-0244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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