Renaissance Ranch Treatment Centers

LBN: Awakening Behavioral Health, Llc
Renaissance Ranch Treatment Centers is an health care organization with primary practice located at 2973 W 13800 S , Bluffdale UT 84065-8202. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Awakening Behavioral Health, Llc can be contacted via phone (801) 545-0406, or through Baca-Pelphrey, Kerrylynn via phone (801) 658-9646.

Contact Information

Primary practice address
2973 W 13800 S Bluffdale UT 84065-8202
Phone: (801) 545-0406
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baca-Pelphrey, Kerrylynn
Phone: (801) 658-9646

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 26066 Utah

Profile Details

NPI number 1619412046
LBN Legal business name Awakening Behavioral Health, Llc
DBA Doing business as Renaissance Ranch Treatment Centers
Authorized official Baca-Pelphrey, Kerrylynn
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 20th, 2016
Last updated Mar 30th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619412046 NPPES
Other 1568909117 NPI FOR SPECIFIC FACILITY RENAISSANCE RANCH BLUFFDALE MEN'S PROGRAM, LLC
Other 51983 NPI FOR SPECIFIC FACILITY RENAISSANCE RANCH BLUFFDALE MEN'S PROGRAM, LLC

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