OrganizationActive
Renaissance Ranch Pornography Addiction Treatment Program
NPI 1780129445 · Mental Health Clinic/Center (Including Community Mental Health Center) · Sandy, UT
Provider details
- NPI number
- 1780129445
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Awakening Behavioral Health
- Organization subpart
- Yes
- Authorized official
- Wendy Patton, Administative Director(801) 856-7836
- License
- 37087 (UT)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 37087 (UT)
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9160 S 300 W
Sandy, UT 84070-2655
Phone: (801) 856-7836
Street-level locationGet directions
Mailing address
2973 West 138000 South
Bluffdale, UT 84065
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2017-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.