Pinon Health Center Behavioral Health | |
2175 State Road 4 Pinon AZ 86510 | |
(928) 725-9500 | |
(928) 725-9540 |
Full Name | Pinon Health Center Behavioral Health |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2175 State Road 4, Pinon, Arizona |
Authorized Official Name and Position | Patrick J Yazzie (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 9286747030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pinon Health Center Behavioral Health Po Box 10 Pinon AZ 86510-0010 Ph: (928) 725-9500 | Pinon Health Center Behavioral Health 2175 State Road 4 Pinon AZ 86510 Ph: (928) 725-9500 |
NPI Number | 1598266876 |
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Provider Enumeration Date | 02/22/2018 |
Last Update Date | 11/09/2023 |
Certification Date | 11/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598266876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Khadjenoury Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mile North Of Pinon Navajo Rt Hwy 41, Pinon, AZ 86510 Phone: 520-907-6890 Fax: 801-930-9134 |