| Pinetop Behavioral Health Llc | |
|
674 E White Mountain Blvd # 5 Blvd 5 Pinetop AZ 85935 | |
| (207) 409-6515 | |
| Not Available |
| Full Name | Pinetop Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 674 E White Mountain Blvd # 5, Pinetop, Arizona |
| Authorized Official Name and Position | Aimee Nyirakanyana (OWNER) |
| Authorized Official Contact | 2074096515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinetop Behavioral Health Llc 674 E White Mountain Blvd # 5 Blvd 5 Pinetop AZ 85935 Ph: () - | Pinetop Behavioral Health Llc 674 E White Mountain Blvd # 5 Blvd 5 Pinetop AZ 85935 Ph: (207) 409-6515 |
| NPI Number | 1578294153 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578294153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Pinetop Treatment Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 674 E White Mountain Blvd Suite 1, Pinetop, AZ 85935 Phone: 602-516-4473 |