OrganizationActive
Renaissance Ranch
NPI 1194169359 · Substance Use Disorder Rehabilitation Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1194169359
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Pinegar, Executive Director(208) 522-6155
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
1165 S Utah Ave
Idaho Falls, ID 83402-3321
Phone: (208) 522-6155
Approximate (ZIP-level) locationGet directions
Mailing address
1165 S Utah Ave
Idaho Falls, ID 83402-3321
Registry dates
- Enumerated
- 2013-04-18
- Last updated
- 2013-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.