Sundance Canyon Academy
Residential Treatment Facility, Emotionally Disturbed Children in Herriman, UT. Organization (NPI-2).
NPI number1396018917
StatusActive
Last updated in NPPESFeb 13, 2012
Details
- NPI
- 1396018917
- Entity type
- Organization (NPI-2)
- Legal business name
- Sundance Canyon Academy
- Organization subpart
- No
- Enumeration date
- Feb 13, 2012
- Last updated
- Feb 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 18666 | UT | Yes |
Practice location
6948 Dusty Rose DrHerriman, UT 84096-4710
Phone 801-446-6206 · Fax 801-446-6978
Mailing address
6948 Dusty Rose DrHerriman, UT 84096-4710
Phone 801-446-6206 · Fax 801-446-6978
Authorized official
Simon Timms
Therapist
8014466206
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.