| Tuba City Outpatient Treatment Center | |
|
Main Street Bldg. 25 Tuba City AZ 86045-1350 | |
| (928) 283-3346 | |
| (928) 283-3039 |
| Full Name | Tuba City Outpatient Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Main Street Bldg. 25, Tuba City, Arizona |
| Authorized Official Name and Position | Janell Dickson (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 9286578000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuba City Outpatient Treatment Center Po Box 1350 Bldg. 25 Main Street Tuba City AZ 86045-1350 Ph: (928) 283-3346 | Tuba City Outpatient Treatment Center Main Street Bldg. 25 Tuba City AZ 86045-1350 Ph: (928) 283-3346 |
| NPI Number | 1558483677 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558483677 | NPI | - | NPPES |
| 329492 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Vista Springs Traditions - Tuba City Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2027 N Spruce Street, Tuba City, AZ 86045 Phone: 928-283-6308 Fax: 928-283-6848 | |
Traditions Tuba City Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 S. Main St., Suite B, Kentucky Fried Chicken Comples, Tuba City, AZ 86045 Phone: 928-283-6808 Fax: 928-283-6848 |