NPI 1023318300

Sundance Canyon Academy

Organisation Mental Illness Community Based Residential Treatment Facility Herriman, UT

Practice location

Address: 6948 Dusty Rose Dr, Herriman, UT 84096-4710
Phone: (801) 446-6206
Fax: (801) 446-6978

Authorised official

Name: Reynie Thomas Sandoval
Title: Clinical Director
Phone: (801) 735-6407

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 17166 (UT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Utah →

Registry record

NPI: 1023318300
Entity type: Organization
NPI issued: 2 Nov 2010
Record last updated: 2 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.