AWAKENING BEHAVIORAL HEALTH LLC NPI 1619412046

NPI Information

AWAKENING BEHAVIORAL HEALTH, LLC is a substance abuse rehabilitation facility in Bluffdale, 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. AWAKENING BEHAVIORAL HEALTH, LLC NPI is 1619412046. The provider is registered as an organization entity type.
The provider Is Doing Business As Renaissance Ranch Treatment Centers.

The provider's business location address is:

2973 W 13800 S
BLUFFDALE, UT
ZIP 84065-202
Phone: (801) 545-0406

The provider's authorized official is Kerrylynn Baca-pelphrey .
The authorized official title is Cco, Exec Dir Payor Relations and has the following contact phone number (801) 658-9646.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 3/30/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.