Organization · Type 2 NPI
Renaissance Ranch Heyburn
Substance Abuse Rehabilitation Facility · Heyburn, ID
NPI number
1114692373
Active
Practice location
312 S 950 W
Heyburn, ID 83336-9765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
Another provider at this address
About NPI 1114692373
Renaissance Ranch Heyburn's National Provider Identifier is 1114692373, issued on Aug 10, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Heyburn, ID. The record was last updated on Aug 10, 2021.