Organization
RENAISSANCE RANCH OUTPATIENT TREATMENT
Active
Organization
RENAISSANCE RANCH OUTPATIENT TREATMENT
Active
Parent organization
RENAISSANCE RANCH OUTPATIENT TREATMENT
Other names
Renaissance Ranch Outpatient - Orem Women
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAISSANCE RANCH OUTPATIENT TREATMENT
Authorized official
CHERYL WACK (BILLING MANAGER)
(801) 381-2928
Entity
Organization
Contact information
Practice address
591 W 800 N STE 202, OREM, UT 84057-3762
(801) 572-4325
Mailing address
591 W 800 N STE 202, OREM, UT 84057-3762
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
4625
UT
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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