RENAISSANCE RANCH is a rehabilitation and substance use disorder clinic center in Idaho Falls, ID. RENAISSANCE RANCH NPI is 1194169359. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1165 S UTAH AVE
IDAHO FALLS, ID
ZIP 83402-321
Phone: (208) 522-6155
The provider's authorized official is David Pinegar .
The authorized official title is Executive Director and has the following contact phone number (208) 522-6155.
The enumeration date for this NPI number is 4/18/2013 and was last updated on 4/18/2013.