San Juan Mental Health-Substance Abuse Ssd in Blanding - Rehabilitation, Substance Use Disorder

San Juan Mental Health-Substance Abuse Ssd - NPI 1790898526

San Juan Mental Health-Substance Abuse Ssd is a Rehabilitation, Substance Use Disorder in Blanding, Utah. San Juan Mental Health-Substance Abuse Ssd practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for San Juan Mental Health-Substance Abuse Ssd is 1790898526. The last update date is 2020-08-22.

San Juan Mental Health-Substance Abuse Ssd's current location address is 356 S Main St, Blanding, Utah. You can contact this provider via phone number 4356782992 and fax number 4356783116. The mailing address for San Juan Mental Health-Substance Abuse Ssd is 356 S Main St, Blanding, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Juan Mental Health-Substance Abuse Ssd
Address 356 S Main St, Blanding, Utah
Phone Number 4356782992
Fax Number 4356783116
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Rogers S. Dan
Credentials LCSW
Telephone Number 4356782992

NPI Number Detail

NPI Number 1790898526
Provider Enumeration Date 2006-08-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 356 S Main St
City Blanding
State Utah (UT)
Post Code 845113830
Phone Number 4356782992
Fax Number 4356783116

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Licence No 11054
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
876000546138 UT --

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FAQs about San Juan Mental Health-Substance Abuse Ssd

What is the unique 10-digit identifier code issued to San Juan Mental Health-Substance Abuse Ssd by the Centers for Medicare & Medicaid Services?

The San Juan Mental Health-Substance Abuse Ssd has been assigned the NPI (National Provider Identifier) 1790898526 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where San Juan Mental Health-Substance Abuse Ssd is physically located?

The San Juan Mental Health-Substance Abuse Ssd is physically situated at the following address: 356 S Main St, Blanding, UT, 845113830.

What is the area of specialization for San Juan Mental Health-Substance Abuse Ssd, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for San Juan Mental Health-Substance Abuse Ssd is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0405X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790898526 to San Juan Mental Health-Substance Abuse Ssd?

The Centers for Medicare & Medicaid Services assigned the 1790898526 to San Juan Mental Health-Substance Abuse Ssd on 2006-08-16.

When was the information regarding San Juan Mental Health-Substance Abuse Ssd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to San Juan Mental Health-Substance Abuse Ssd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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