Organization · Type 2 NPI
Renaissance Ranch Idaho
Substance Abuse Rehabilitation Facility · Rupert, ID
NPI number
1801649090
Active
Practice location
1275 N 400 E Apt F
Rupert, ID 83350-8549
Mailing address
2973 W 13800 S
Bluffdale, UT 84065-8202
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 1801649090
Renaissance Ranch Idaho's National Provider Identifier is 1801649090, issued on Apr 8, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Rupert, ID. The record was last updated on Apr 8, 2024.