Organization
SUNDANCE CANYON EAST
Active
Organization subpart
No
Provider details
NPI number
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
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HLT-000051-2018
BUSINESS LICENSE
UT
Enumeration date
01/07/2019
Last updated
01/07/2019
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