Organization
SUNDANCE CANYON EAST
Active
Parent organization
SUNDANCE CANYON EAST
Other names
Sundance Canyon East Day Treatment
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNDANCE CANYON EAST
Authorized official
SHERI HOOPER (FINANCIAL DIRECTOR)
(866) 678-2425
Entity
Organization
Contact information
Practice address
11457 S 700 W, DRAPER, UT 84020-9426
(866) 678-2425
Mailing address
11457 S 700 W, DRAPER, UT 84020-9426
(866) 678-2425
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HLT-000051-2018
BUSINESS LICENSE
UT
Enumeration date
01/15/2019
Last updated
01/15/2019
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