Provider Demographics
NPI:1982936019
Name:SOUTHERN UTAH MENTAL HEALTH, INC.
Entity Type:Organization
Organization Name:SOUTHERN UTAH MENTAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-867-0644
Mailing Address - Street 1:1760 N MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-7775
Mailing Address - Country:US
Mailing Address - Phone:435-867-0644
Mailing Address - Fax:435-867-0645
Practice Address - Street 1:1760 N MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7775
Practice Address - Country:US
Practice Address - Phone:435-867-0644
Practice Address - Fax:435-867-0645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health