| Dilkon Outpatient Treatment Center | |
|
Northeast Of Bashas' Winslow AZ 86047-7072 | |
| (928) 657-8000 | |
| (928) 657-8009 |
| Full Name | Dilkon Outpatient Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Northeast Of Bashas', Winslow, Arizona |
| Authorized Official Name and Position | Janell Dickson (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 9286578000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dilkon Outpatient Treatment Center Po Box 7072 Winslow AZ 86047-7072 Ph: (928) 657-8000 | Dilkon Outpatient Treatment Center Northeast Of Bashas' Winslow AZ 86047-7072 Ph: (928) 657-8000 |
| NPI Number | 1528270113 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528270113 | NPI | - | NPPES |
| 329484 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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