Navajo Nation Shiprock Treatment Center Adolescent Unit

NPI 1073711693 - Substance Abuse Rehabilitation Facility - 3245S0500X

NPI Details
NPI 1073711693
Enumeration Date 07/05/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RITA RITA
Position PROGRAM SUPERVISOR
Phone (505) 368-1050
Fax (505) 368-1467
Practice Location
DORM #2 YUCCA ST.
SHIPROCK NM, 87402, US
Phone (505) 368-1050
Fax (505) 368-1467
Business Location
PO BOX 1830
SHIPROCK NM, 87420-1830, US
Phone (505) 368-1050
Fax (505) 368-1467
Toxanomy
Taxonomy Code 3245S0500X
License State
License Number
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According to our database, Navajo Nation Shiprock Treatment Center Adolescent Unit NPI is 1073711693, taxonomy code is 3245S0500X Navajo Nation Shiprock Treatment Center Adolescent Unit physically located at Dorm #2 Yucca St., Shiprock NM, 87402. NPI Number 1033115704 has the healthcare provider type.

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1073711693 NPI number is provided on an as is basis without warranty of any kind. 1073711693 is maintained by the National Plan & Provider Enumeration System. The contents of Navajo Nation Shiprock Treatment Center Adolescent Unit are for informational purposes only.