Renaissance Ranch Idaho
Renaissance Ranch Idaho is a Substance Abuse Rehabilitation Facility in Rupert, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1275 N 400 E Apt FRupert, ID 83350-8549
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 |
|---|
Record details
| NPI number | 1801649090 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Awakening Behavioral Health |
| Authorized official | Elly Golesh — Administration · (385) 321-0244 |
| Other names | Renaissance Ranch |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
| Mailing address | 2973 W 13800 S, Bluffdale, UT 84065-8202 |