NPI 1942600846

Renassaince Ranch Outpatient

Organisation Substance Abuse Rehabilitation Facility Sandy, UT

Practice location

Address: 9160 S 300 W 13, Sandy, UT 84070-2655
Phone: (801) 450-7893

Authorised official

Name: Cory Allen Reich
Title: Clinical Director
Phone: (801) 450-7893

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: 1942600846
Entity type: Organization
NPI issued: 27 Aug 2014
Record last updated: 11 Sep 2014

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.