NPI 1518324383

Renaissance Ranch Outpatient Treatment

Organisation Substance Abuse Rehabilitation Facility Orem, UT

Practice location

Address: 265 W Center St, Orem, UT 84057-4611
Phone: (801) 572-4325

Authorised official

Name: Cheryl Wack
Title: Billing Manager
Phone: (801) 381-2928

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 4625 (UT)

Other Substance Abuse Rehabilitation Facility providers in Utah →

Registry record

NPI: 1518324383
Entity type: Organization
NPI issued: 25 Jan 2016
Record last updated: 25 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.