| Traditions St. Michaels | |
|
Navajo Reservation St. Michaels AZ 86511 | |
| (928) 810-3707 | |
| (928) 810-3713 |
| Full Name | Traditions St. Michaels |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | Navajo Reservation, St. Michaels, 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 St. Michaels Po Box 1093 St Michaels AZ 86511-1093 Ph: (928) 810-3707 | Traditions St. Michaels Navajo Reservation St. Michaels AZ 86511 Ph: (928) 810-3707 |
| NPI Number | 1609106335 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609106335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Vista Springs Traditions - St. Michaels Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 254 - 1 Mile Se From Chapter House, Westside - Pink Bldg/gray Top, St. Michaels, AZ 86511 Phone: 928-810-3707 Fax: 928-810-3713 |