Renassaince Ranch Outpatient

LBN: Renassaince Ranch Outpatient
Renassaince Ranch Outpatient is an health care organization with primary practice located at 9160 S 300 W 13, Sandy UT 84070-2655. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Renassaince Ranch Outpatient can be contacted via phone (801) 450-7893, or through Reich, Cory Allen via phone (801) 450-7893.

Contact Information

Primary practice address
9160 S 300 W 13 Sandy UT 84070-2655
Phone: (801) 450-7893
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reich, Cory Allen PH.D., L.M.F.T.
Phone: (801) 450-7893

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 4625 Utah

Profile Details

NPI number 1942600846
LBN Legal business name Renassaince Ranch Outpatient
DBA Doing business as
Authorized official Reich, Cory Allen PH.D., L.M.F.T.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2014
Last updated Sep 11th, 2014 - about 11 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.

Request for update

Popular Providers