Organization
RANAISSANCE RANCH OUTPATIENT TREATMENT
Active
Other names
Brothers Keeper
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN V. JAMES I (OWNER)
(801) 326-9173
Entity
Organization
Contact information
Practice address
9160 S 300 W STE 13, SANDY, UT 84070-2656
(801) 571-4325
Mailing address
9160 S 300 W STE 13, SANDY, UT 84070-2656
(801) 571-4325
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6253804-3501
UT
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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