Organization
SUNDANCE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LANNON (BUSINESS OFFICE MANAGER)
(801) 967-7664
Entity
Organization
Contact information
Practice address
12816 E TURQUOISE AVE, SCOTTSDALE, AZ 85259-5300
(480) 773-7329
Mailing address
12816 E TURQUOISE AVE, SCOTTSDALE, AZ 85259-5300
(480) 773-7329
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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