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

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X37087 (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.