San Juan Mental Health-Substance Abuse Special Service District

NPI #1356353692 in Blanding, Utah

Provider Information

NPI Number: 1356353692
Entity Type: Organization
Organization Name: San Juan Mental Health-Substance Abuse Special Service District
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 13, 2006
Last Updated: Jun 19, 2014

Practice Location

Address: 356 S MAIN ST
City: Blanding
State: Utah
ZIP Code: 84511-3830
Phone: (435) 678-2992

Authorized Official

Name: JED E. LYMAN, LSCW
Title: EXECUTIVE DIRECTOR
Phone: (435) 678-2992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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