| NPI | 1801649090 |
|---|---|
| Doing Business As | RENAISSANCE RANCH |
| Entity Type | Organization |
| Authorized Contact | ELLY GOLESH Administration 385-321-0244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |