| Rainbow Treatment Center White Mountain Apache Tribe | |
|
302 West Pondersosa Whiteriver AZ 85941-1790 | |
| (928) 338-4858 | |
| (928) 338-4100 |
| Full Name | Rainbow Treatment Center White Mountain Apache Tribe |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 302 West Pondersosa, Whiteriver, Arizona |
| Authorized Official Name and Position | Bll Arnett (DIRECTOR) |
| Authorized Official Contact | 9283384858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Treatment Center White Mountain Apache Tribe 302 West Pondersosa Whiteriver AZ 85941-1790 Ph: (928) 338-4858 | Rainbow Treatment Center White Mountain Apache Tribe 302 West Pondersosa Whiteriver AZ 85941-1790 Ph: (928) 338-4858 |
| NPI Number | 1538290119 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538290119 | NPI | - | NPPES |
| 541484 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 541484 (Arizona) | Primary |
Sequel Tsi Of Az, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 S. Chief Ave., White Mountain Apache Motel., Whiteriver, AZ 85941 Phone: 928-338-4927 Fax: 928-338-4742 | |
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 |