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Navajo Route 7, Duplex Unit 2004 Chinle AZ 86503-0777 | |
(928) 674-2190 | |
(928) 674-2196 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | Navajo Route 7, Duplex Unit 2004, Chinle, Arizona |
Authorized Official Name and Position | Miranda Blatchford (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 9286742190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 777 Chinle AZ 86503-0777 Ph: (928) 674-2190 | Navajo Route 7, Duplex Unit 2004 Chinle AZ 86503-0777 Ph: (928) 674-2190 |
NPI Number | 1356555387 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 03/10/2022 |
Certification Date | 03/10/2022 |
Identifier | Type | State | Issuer |
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1356555387 | NPI | - | NPPES |
329533 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
San Tan Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600-c Navajo Route 7, Chinle, AZ 86503 Phone: 928-674-3931 Fax: 480-632-0026 | |