Sundance Canyon Academy

NPI #1023318300 in Herriman, Utah

Provider Information

NPI Number: 1023318300
Entity Type: Organization
Organization Name: Sundance Canyon Academy
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Nov 2, 2010
Last Updated: Nov 2, 2010

Practice Location

Address: 6948 DUSTY ROSE DR
City: Herriman
State: Utah
ZIP Code: 84096-4710
Phone: (801) 446-6206

Authorized Official

Name: MR. REYNIE THOMAS SANDOVAL, LCSW
Title: CLINICAL DIRECTOR
Phone: (801) 735-6407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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