Sundance Behavioral Health Llc

LBN: Altium Health Llc
Sundance Behavioral Health Llc is an health care organization with primary practice located at 7181 S Campus View Dr , West Jordan UT 84084-4312. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Multi-Specialty, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Altium Health Llc can be contacted via phone (425) 890-4777, or through Khadjenoury, Siamak via phone (801) 613-9843.

Contact Information

Primary practice address
7181 S Campus View Dr West Jordan UT 84084-4312
Phone: (425) 890-4777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khadjenoury, Siamak
Phone: (801) 613-9843

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1235787870
LBN Legal business name Altium Health Llc
DBA Doing business as Sundance Behavioral Health Llc
Authorized official Khadjenoury, Siamak
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2019
Last updated May 16th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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