Whalio Doctors

NPI 1366879793

Sundance Canyon INC

Organisation Psychiatric Residential Treatment Facility American Fork, UT

Practice location

Address
182 N 775 E, American Fork, UT 84003-2068
Phone
(801) 473-6606
Fax
(801) 763-5758
Mailing address
1766 Little Sweden Rd, Daniel, UT 84032-3505

Authorised official

Name
Sheri Hooper
Title
Financial Director
Phone
(801) 473-6606

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 3021 (UT)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 3021 (UT)

Registry record

NPI
1366879793
Entity type
Organization
NPI issued
30 Sep 2013
Record last updated
30 Sep 2013

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.