| Navajo Regional Behavioral Health Center - Outpatient | |
|
Pinon & Cottonwood Dr Building #2301 Shiprock NM 87420 | |
| (505) 368-1438 | |
| (505) 368-1461 |
| Full Name | Navajo Regional Behavioral Health Center - Outpatient |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Pinon & Cottonwood Dr Building #2301, Shiprock, New Mexico |
| Authorized Official Name and Position | Sidney Brown (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 5053681438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Navajo Regional Behavioral Health Center - Outpatient Po Box 1830 Shiprock NM 87420-1830 Ph: (505) 368-1438 | Navajo Regional Behavioral Health Center - Outpatient Pinon & Cottonwood Dr Building #2301 Shiprock NM 87420 Ph: (505) 368-1438 |
| NPI Number | 1487876991 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487876991 | NPI | - | NPPES |
| 80403069 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |