Sundance Canyon Academy

NPI #1396018917 in Herriman, Utah

Provider Information

NPI Number: 1396018917
Entity Type: Organization
Organization Name: Sundance Canyon Academy
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Feb 13, 2012
Last Updated: Feb 13, 2012

Practice Location

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

Authorized Official

Name: SIMON TIMMS, LPC
Title: THERAPIST
Phone: (801) 446-6206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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