Renaissance Ranch Bluffdale Women's Program

NPI #1952848509 in Bluffdale, Utah

Provider Information

NPI Number: 1952848509
Entity Type: Organization
Organization Name: Renaissance Ranch Bluffdale Women'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: Jan 23, 2017

Practice Location

Address: 2356 THUNDERHEAD WAY
City: Bluffdale
State: Utah
ZIP Code: 84065
Phone: (801) 545-0406

Authorized Official

Name: WENDY PATTON
Title: ADMINISTRATIVE DIRECTOR
Phone: (801) 856-7836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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