1194169359 RENAISSANCE RANCH
Substance Use Disorder Rehabilitation Clinic/Center
Active
Basic Information
- Organization Name
- RENAISSANCE RANCH
- Enumeration Date
- April 18, 2013
- Last Update
- April 18, 2013
- Authorized Official
- DAVID PINEGAR
EXECUTIVE DIRECTOR
Phone: (208) 522-6155
Practice Location
- Address
- 1165 S UTAH AVE
IDAHO FALLS, ID 834023321 - Phone
- (208) 522-6155
Mailing Address
- Address
- 1165 S UTAH AVE
IDAHO FALLS, ID 834023321 - Phone
- (208) 522-6155
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | N/A | N/A | No |
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | N/A | Primary |
Frequently Asked Questions
What is RENAISSANCE RANCH's NPI number?
RENAISSANCE RANCH's NPI number is 1194169359.
Which doctor has NPI number 1194169359?
The doctor with NPI number 1194169359 is RENAISSANCE RANCH.
What is RENAISSANCE RANCH's practice address?
RENAISSANCE RANCH's practice address is 1165 S UTAH AVE, IDAHO FALLS, ID, 834023321.
Which doctor practices at 1165 S UTAH AVE, IDAHO FALLS, ID, 834023321?
RENAISSANCE RANCH practices at 1165 S UTAH AVE, IDAHO FALLS, ID, 834023321.
What is RENAISSANCE RANCH's phone number?
RENAISSANCE RANCH's phone number is (208) 522-6155.
Who is (208) 522-6155?
(208) 522-6155 is the phone number for RENAISSANCE RANCH.
What is RENAISSANCE RANCH's specialty?
RENAISSANCE RANCH's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is RENAISSANCE RANCH?
RENAISSANCE RANCH is a Substance Use Disorder Rehabilitation Clinic/Center.
Is RENAISSANCE RANCH a Rehabilitation, Substance Use Disorder?
Yes, RENAISSANCE RANCH is a Rehabilitation, Substance Use Disorder.
Is RENAISSANCE RANCH still practicing?
Yes, RENAISSANCE RANCH is currently practicing.
Is RENAISSANCE RANCH accepting new patients?
RENAISSANCE RANCH may be accepting new patients. Please call their office at (208) 522-6155 to inquire about availability.
Is NPI 1194169359 still active?
Yes, NPI 1194169359 is currently active.
Where does RENAISSANCE RANCH practice?
RENAISSANCE RANCH practices in IDAHO FALLS, ID.