Organization · Type 2 NPI
Renaissance Ranch Pornography Addiction Treatment Program
Mental Health Clinic/Center (Including Community Mental Health Center) · Sandy, UT
NPI number
1780129445
Active
Practice location
9160 S 300 W
Sandy, UT 84070-2655
Mailing address
2973 West 138000 South
Bluffdale, UT 84065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 37087 (UT) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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About NPI 1780129445
Renaissance Ranch Pornography Addiction Treatment Program's National Provider Identifier is 1780129445, issued on Jan 4, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Sandy, UT. The record was last updated on Jan 25, 2017.