| Outpatient Treatment Center | |
|
Navajo Route 7, Duplex Unit 2004 Chinle AZ 86503-0777 | |
| (928) 674-2190 | |
| (928) 674-2196 |
| Full Name | Outpatient Treatment Center |
|---|---|
| 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 |
|---|---|
| Outpatient Treatment Center Po Box 777 Chinle AZ 86503-0777 Ph: (928) 674-2190 | Outpatient Treatment Center Navajo Route 7, Duplex Unit 2004 Chinle AZ 86503-0777 Ph: (928) 674-2190 |
| NPI Number | 1356555387 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 | |
Edventures Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Indian Route 7 And State Hwy 191, Edventures Program C/o Chinle Jr High School, Chinle, AZ 86503 Phone: 520-907-6890 | |
Vista Springs Traditions - Chinle Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Navajo Route 7, Westside Presbyterian Church, Chinle, AZ 86503 Phone: 928-674-3818 Fax: 928-674-5814 | |
Edventures Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Indian Router 7 And Hwy 191, Chinle High School, Chinle, AZ 86503 Phone: 520-674-9570 Fax: 520-674-9586 | |
Traditions Chinle Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Navajo Route 7, Westside Trinity Presbyterian Church, Chinle, AZ 86503 Phone: 928-674-3818 Fax: 928-674-5814 | |
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