| NPI | 1295019024 |
|---|---|
| Doing Business As | SUNDANCE COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | MARCIA JEAN KILPATRICK Sole Propreitor 435-649-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 8106626-3501) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |