Awakening Behavioral Health, LLC
Awakening Behavioral Health, LLC is a Psychiatric Residential Treatment Facility in Bluffdale, Utah. Licensed in Utah. Registered with an NPI since 2016.
- Licensed in
- UT
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2973 W 13800 SBluffdale, UT 84065-8202
Phone: (801) 545-0406
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 26066 (UT) |
|---|---|
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X |
Record details
| NPI number | 1619412046 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Awakening Behavioral Health, LLC |
| Authorized official | Kerrylynn Baca-Pelphrey — Cco, Exec Dir Payor Relations · (801) 658-9646 |
| Other names | Renaissance Ranch Bluffdale Men'S Program, Llc; Renaissance Ranch Treatment Centers; Renaissance Ranch Treatment Centers |
| NPI enumerated | December 20, 2016 |
| Last updated in NPPES | March 30, 2020 |
| Certification date | March 30, 2020 |
| Mailing address | 2973 W 13800 S, Bluffdale, UT 84065-8202 |