Sundance Canyon Academy, NPI 1023318300
Mental Illness Community Based Residential Treatment Facility in Herriman, UT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1023318300 |
| NPI Entity Type | Organization |
| Provider Name | Sundance Canyon Academy |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 6948 Dusty Rose Dr, Herriman, UT, US |
| Provider Mailing Address | 6948 Dusty Rose Dr, Herriman, UT, US, 840964710 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. LCSW Reynie Thomas Sandoval |
| Official Position | CLINICAL DIRECTOR |
| Phone | 801-735-6407 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Mental Illness Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Mental Illness |
| Group | |
| License No. | 17166 |
| License State | UT |
| Description | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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