Organization · Type 2 NPI
Renaissance Ranch
Substance Use Disorder Rehabilitation Clinic/Center · Idaho Falls, ID
NPI number
1194169359
Active
Practice location
1165 S Utah Ave
Idaho Falls, ID 83402-3321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
Other substance use disorder rehabilitation clinic/center providers in Idaho Falls
- Throne of Grace, Llc.Substance Use Disorder Rehabilitation Clinic/Center Idaho Falls, ID NPI 1104173467
- Cornerstone Wellness and Recovery LLCSubstance Use Disorder Rehabilitation Clinic/Center Idaho Falls, ID NPI 1851234975
- Brick House RecoverySubstance Use Disorder Rehabilitation Clinic/Center Idaho Falls, ID NPI 1962050989
- Tueller CounselingSubstance Use Disorder Rehabilitation Clinic/Center Idaho Falls, ID NPI 1992132427
About NPI 1194169359
Renaissance Ranch's National Provider Identifier is 1194169359, issued on Apr 18, 2013. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 18, 2013.