| Sundance Canyon East | |
|
11457 S 700 W Draper UT 84020-9426 | |
| (866) 678-2425 | |
| Not Available |
| Full Name | Sundance Canyon East |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 11457 S 700 W, Draper, Utah |
| Authorized Official Name and Position | Sheri Hooper (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 8666782425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Canyon East 11457 S 700 W Draper UT 84020-9426 Ph: (866) 678-2425 | Sundance Canyon East 11457 S 700 W Draper UT 84020-9426 Ph: (866) 678-2425 |
| NPI Number | 1326512096 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326512096 | NPI | - | NPPES |
| HLT-000051-2018 | Other | UT | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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