| NPI | 1942076633 |
|---|---|
| Doing Business As | SUNDANCE BEHAVIORAL RESOURCES OF UTAH |
| Entity Type | Organization |
| Authorized Contact | KERRY BISCORNET Secretary 608-854-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-04-24 |