| Traditions Whiteriver | |
|
1109 S. Chief Ave. White Mountain Apache Motel. Whiteriver AZ 85941 | |
| (928) 338-4927 | |
| (928) 338-4742 |
| Full Name | Traditions Whiteriver |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1109 S. Chief Ave., Whiteriver, 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 Whiteriver 1109 S. Chief Ave. White Mountain Apache Motel. Whiteriver AZ 85941 Ph: (928) 338-4927 | Traditions Whiteriver 1109 S. Chief Ave. White Mountain Apache Motel. Whiteriver AZ 85941 Ph: (928) 338-4927 |
| NPI Number | 1891025524 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891025524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Rainbow Treatment Center White Mountain Apache Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 West Pondersosa, Whiteriver, AZ 85941 Phone: 928-338-4858 Fax: 928-338-4100 | |
Apache Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 W Ponderosa, Whiteriver, AZ 85941 Phone: 928-338-4811 Fax: 928-338-4930 |