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SUNDANCE BEHAVIORAL HEALTH NPI 1326157355


NPI Information

NPI: 1326157355
Provider Name: SUNDANCE BEHAVIORAL HEALTH

Doing Business As: SUNDANCE BEHAVIORAL RESOURCES, LLC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
845 E 4800 S
SUITE 200
MURRAY, UT
ZIP 84107
Phone: (801) 264-9522
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SUNDANCE BEHAVIORAL HEALTH is a mental health (including community mental health center) clinic center in Murray, UT. SUNDANCE BEHAVIORAL HEALTH NPI is 1326157355. The provider is registered as an organization entity type.
The provider Is Doing Business As Sundance Behavioral Resources, Llc.

The provider's business location address is:

845 E 4800 S
SUITE 200
MURRAY, UT
ZIP 84107-049
Phone: (801) 264-9522
Fax: (801) 265-9604

The provider's authorized official is Dex Whitehead .
The authorized official title is Managing Partner and has the following contact phone number (801) 264-9522.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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