Renaissance Ranch
Organization Active NPI Substance Abuse Rehabilitation Facility · Bluffdale, UT
NPI 1710154992 · NPPES record last updated May 15, 2008
Key facts
- NPI
- 1710154992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 13741 (UT)
- Legal business name
- RENAISSANCE RANCH
- Practice address
- 2829 W 13800 S
Bluffdale, UT 84065-5902 - Phone
- (801) 545-0406
- Fax
- (801) 545-1092
- NPI assigned
- May 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. HR Brown, LSAC
- Title
- Executive Director
- Phone
- (801) 545-0406
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 13741 | UT | Yes |
Addresses
Primary practice location
2829 W 13800 S
Bluffdale, UT 84065-5902
Mailing address
2829 W 13800 S
Bluffdale, UT 84065-5902
Phone (801) 545-0406
Other providers in Bluffdale, UT
- Jan Charles Plumb
- Ethan Pollock
- Lane Cannon Porter
- Lisa Pryor
- Kathleen Marcie Remington
- Renaissance Ranch Bluffdale Men'S Program
- Renaissance Ranch Bluffdale Women'S Program
- Bryce Rodabough
- Christopher David Roller
- Brittan Ashley Rooney
All providers in Bluffdale, UT · Substance Abuse Rehabilitation Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.