| Traditions Kayenta | |
|
Highway 163 Kayenta Mobile Home Park #8 Kayenta AZ 86033 | |
| (928) 697-3154 | |
| (928) 697-3156 |
| Full Name | Traditions Kayenta |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | Highway 163, Kayenta, Arizona |
| Authorized Official Name and Position | Chris Banken (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6023352095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Kayenta Highway 163 Kayenta Mobile Home Park #8 Kayenta AZ 86033 Ph: (928) 697-3154 | Traditions Kayenta Highway 163 Kayenta Mobile Home Park #8 Kayenta AZ 86033 Ph: (928) 697-3154 |
| NPI Number | 1982934618 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982934618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Kayenta Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 163-bldg-ka-2010, Kayenta, AZ 86033 Phone: 928-695-4000 Fax: 928-697-4189 | |
Kayenta Outpatient Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 394.3 Us-160, Kayenta, AZ 86033 Phone: 928-697-5570 Fax: 928-697-5574 |