NPI 1710154992

Renaissance Ranch

Organisation Substance Abuse Rehabilitation Facility Bluffdale, UT

Practice location

Address: 2829 W 13800 S, Bluffdale, UT 84065-5902
Phone: (801) 545-0406
Fax: (801) 545-1092

Authorised official

Name: Hr Brown
Title: Executive Director
Phone: (801) 545-0406

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 13741 (UT)

Other Substance Abuse Rehabilitation Facility providers in Utah →

Registry record

NPI: 1710154992
Entity type: Organization
NPI issued: 15 May 2008
Record last updated: 15 May 2008

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.