RENAISSANCE RANCH PORNOGRAPHY ADDICTION TREATMENT PROGRAM NPI 1780129445

NPI Information

  • NPI: 1780129445
  • Provider Name: RENAISSANCE RANCH PORNOGRAPHY ADDICTION TREATMENT PROGRAM
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 46D2130559
  • Address: 9160 S 300 W
    SANDY, UT
    ZIP 84070
  • Phone: (801) 856-7836

Map and Directions

Get Directions

NPI Details

RENAISSANCE RANCH PORNOGRAPHY ADDICTION TREATMENT PROGRAM is a mental health (including community mental health center) clinic center in Sandy, UT. RENAISSANCE RANCH PORNOGRAPHY ADDICTION TREATMENT PROGRAM NPI is 1780129445. The provider is registered as an organization entity type.

The provider's business location address is:

9160 S 300 W
SANDY, UT
ZIP 84070-655
Phone: (801) 856-7836

The provider's authorized official is Wendy Patton .
The authorized official title is ADMINISTATIVE DIRECTORDirector and has the following contact phone number (801) 856-7836.

The CLIA number assigned to this NPI record is 46D2130559 - other - drug testing with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/25/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)37087UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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.