Kaibeto Outpatient Treatment Center

NPI 1083835458 - Counselor - 101YA0400X

NPI Details
NPI 1083835458
Enumeration Date 05/01/2007
Last Updated 12/10/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KELSEY ANDREW KELSEY
Position PROGRAM SUPERVISOR
Phone (928) 673-3267
Fax (928) 673-3269
Practice Location
NE KAIBETO BIA SCHOOL CAMPUS, BLDG. 411
KAIBETO AZ, 86053-2147, US
Phone (928) 673-3267
Fax (928) 673-3269
Business Location
PO BOX 2147
NE KAIBETO BIA SCHOOL CAMPUS, BLDG. 411
KAIBETO AZ, 86053-2147, US
Phone (928) 673-3267
Fax (928) 673-3269
Toxanomy
Taxonomy Code 101YA0400X
License State Arizona
License Number 822909
Remove 1083835458 NPI Number
 

According to our database, Kaibeto Outpatient Treatment Center NPI is 1083835458, taxonomy code is 101YA0400X and license number is 822909, license state is located at Arizona. Kaibeto Outpatient Treatment Center physically located at Ne Kaibeto Bia School Campus, Bldg. 411, Kaibeto AZ, 86053-2147. NPI Number 1033115704 has the healthcare provider type.

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1083835458 NPI number is provided on an as is basis without warranty of any kind. 1083835458 is maintained by the National Plan & Provider Enumeration System. The contents of Kaibeto Outpatient Treatment Center are for informational purposes only.