San Juan Mental Health-Substance Abuse Ssd
Specialty details in registry · Blanding, UT
At a glance
356 S Main St, Blanding, UT 84511-3830
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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Practice location
356 S Main StBlanding, UT 84511-3830
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QR0405X
- Enumeration date
- Aug 16, 2006
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QR0405X · Primary
License reported: 11054 UT
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
356 S Main StBlanding, UT 84511-3830
- Phone
- (435) 678-2992
- Fax
- (435) 678-3116
Mailing address
356 S MAIN STBLANDING, UT 845113830
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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