Organization
RENEWED HOPE RANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. BARRICK CMHC (OWNER/MANAGER)
(435) 592-0558
Entity
Organization
Contact information
Practice address
425 EAST 6000 NORTH, ENOCH, UT 84721
(435) 531-0040
(888) 487-6445
Mailing address
425 EAST 6000 NORTH, ENOCH, UT 84721
(435) 531-0040
(888) 487-6445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
15745
UT
Other
Enumeration date
10/20/2016
Last updated
03/11/2019
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