NPI | 1356353692 |
---|---|
Doing Business As | SAN JUAN COUNSELING |
Entity Type | Organization |
Authorized Contact | JED E. LYMAN Executive Director 435-678-2992 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 11054) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2014-06-19 |