RENAISSANCE RANCH OUTPATIENT TREATMENT NPI 1518324383

NPI Information

RENAISSANCE RANCH OUTPATIENT TREATMENT is a substance abuse rehabilitation facility in Orem, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RENAISSANCE RANCH OUTPATIENT TREATMENT NPI is 1518324383. The provider is registered as an organization entity type.
The provider Other Name Is Renaissance Ranch Outpatient - Orem Men.

The provider's business location address is:

265 W CENTER ST
OREM, UT
ZIP 84057-611
Phone: (801) 572-4325

The provider's authorized official is Cheryl Wack .
The authorized official title is Billing Manager and has the following contact phone number (801) 381-2928.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 1/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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