institution
Renaissance Ranch
Substance Use Disorder Rehabilitation Clinic/Center in Idaho Falls, Idaho
NPI 1194169359

Renaissance Ranch is a Substance Use Disorder Rehabilitation Clinic/Center based in Idaho Falls, ID and is specialized in Rehabilitation, Substance Use Disorder. Renaissance Ranch practices in Idaho Falls, ID. The NPI Number for Renaissance Ranch is 1194169359 and holds a License No. (Idaho).

The current practice location address for Renaissance Ranch is 1165 S Utah Ave, Idaho Falls, ID and can be reached out via phone at 208-522-6155. You can also correspond with Renaissance Ranch through the mailing address at 1165 S UTAH AVE, IDAHO FALLS, ID - 83402-3321 (mailing address contact number: 208-522-6155).

Location: 1165 S Utah Ave, Idaho Falls, ID, 83402-3321
institution
Provider Profile Details
NPI Number
1194169359
Provider Name
Renaissance Ranch
Credential
Provider Entity Type
Organization
Address
1165 S Utah Ave, Idaho Falls, ID, 83402-3321
Phone Number
208-522-6155
Fax Number
Provider Enumeration Date
04/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1165 S Utah Ave
City
State
Zip
83402-3321
Phone Number
208-522-6155
Fax Number
person
Provider Business Mailing Address Details
Address
1165 S Utah Ave
City
State
Zip
83402-3321
Phone Number
208-522-6155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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