Sundance Canyon East

NPI #1659845352 in Draper, Utah

Provider Information

NPI Number: 1659845352
Entity Type: Organization
Organization Name: Sundance Canyon East
Subpart: Yes (part of a larger organization)
Parent Organization: SUNDANCE CANYON EAST
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jan 15, 2019
Last Updated: Jan 15, 2019

Practice Location

Address: 11457 S 700 W
City: Draper
State: Utah
ZIP Code: 84020-9426
Phone: (866) 678-2425

Authorized Official

Name: SHERI HOOPER
Title: FINANCIAL DIRECTOR
Phone: (866) 678-2425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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