| Red Mesa Outpatient Treatment Center | |
|
Us Hwy 160 & Navajo Route 35 Red Mesa AZ 86514 | |
| (505) 368-1438 | |
| (505) 368-1461 |
| Full Name | Red Mesa Outpatient Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Us Hwy 160 & Navajo Route 35, Red Mesa, Arizona |
| 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 |
|---|---|
| Red Mesa Outpatient Treatment Center Po Box 1830 Shiprock NM 87420-1830 Ph: (505) 368-1438 | Red Mesa Outpatient Treatment Center Us Hwy 160 & Navajo Route 35 Red Mesa AZ 86514 Ph: (505) 368-1438 |
| NPI Number | 1316545940 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316545940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |