| NPI | 1811301542 |
|---|---|
| Doing Business As | RENAISSANCE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | TAZ DECKER Owner/Executive Director 435-703-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 7769) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2017-04-10 |