NAVAJO NATION DEPARTMENT OF BEHAVIORAL HEALTH SERVICES (NPI# 1487862959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487862959 |
| Entity Type | Organization |
| Organization Name | NAVAJO NATION DEPARTMENT OF BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | ADOLESCENT TREATMENT CENTER |
| Practice Address |
Navajo Route 7, Duplex 2003 Chinle AZ 86503-0777 |
| Mailing Address |
Po Box 777 Chinle AZ 86503-0777 |
| Practice Telephone | 9286742190 |
| Practice Fax Number | 9286742196 |
| Mailing Telephone | 9286742190 |
| Mailing Fax Number | 9286742196 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MR. HERMAN LARGO (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9288716235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 838261 | 01 |
| Other Name | Type Code |
|---|---|
| Adolescent Treatment Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275718462 | Navajo Nation Department of Behavioral Health Services | Counselor | 30 Mi Nw of Cuba Nm, Cuba, NM 87013 | 2008-01-07 |
| 1316157019 | Navajo Nation Department of Behavioral Health Services | Community/Behavioral Health | Navajo Rte. 7, Trailer #t-19, Chinle, AZ 86503-0777 | 2007-05-23 |
| Street Address |
NAVAJO ROUTE 7, DUPLEX 2003 |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503-0777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518417583 | Life Change Family Services Inc | Substance Abuse Rehabilitation Facility | 20018 N Toledo Ave, Maricopa, AZ 85138-5359 | 2016-10-13 |
| 1437401536 | The Haven | Substance Abuse Rehabilitation Facility | 1015 E Adelaide Dr, Tucson, AZ 85719-2605 | 2012-10-12 |
| 1033497276 | Arivaca Ranch LLC | Substance Abuse Rehabilitation Facility | 38000 South Arivaca Ranch Road, Arivaca, AZ 85601 | 2011-07-21 |
| 1275861007 | Mhcti LLC | Substance Abuse Rehabilitation Facility | 3771 E Brooks Farms Rd, Gilbert, AZ 85298-5811 | 2009-12-07 |
| 1679800106 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1800 Rio Vista Dr, Bullhead City, AZ 86442-7229 | 2009-11-04 |
| 1578736039 | Tri-phase Group Home Inc | Substance Abuse Rehabilitation Facility | 111 S Lazona Dr, Mesa, AZ 85204-1222 | 2008-04-04 |
| 1043483704 | Tri-phase Group Inc | Substance Abuse Rehabilitation Facility | 2355 E Elmwood St, Mesa, AZ 85213-5909 | 2008-04-02 |
| 1396914735 | Tri-phase Group Home Inc | Substance Abuse Rehabilitation Facility | 1575 E Betsy Ln Unit D, Gilbert, AZ 85296-3759 | 2008-02-28 |
| 1780809376 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 1902 N 23rd St, Phoenix, AZ 85006-2428 | 2007-04-17 |
| 1114141918 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 1622 N 27th Pl, Phoenix, AZ 85008-3610 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.