NPI 1568909117

Renaissance Ranch Bluffdale Men's Program

Organisation Substance Abuse Rehabilitation Facility Bluffdale, UT

Practice location

Address: 2973 W 13800 S, Bluffdale, UT 84065-8202
Phone: (801) 545-0406

Authorised official

Name: Wendy Patton
Title: Administative Director
Phone: (801) 856-7836

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 26066 (UT)

Other Substance Abuse Rehabilitation Facility providers in Utah →

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X Licence 26065 (UT)

Registry record

NPI: 1568909117
Entity type: Organization
NPI issued: 20 Jan 2017
Record last updated: 2 Feb 2017

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.