Tuba City Outpatient Treatment Center
LBN: Tuba City Outpatient Treatment Center
Tuba City Outpatient Treatment Center is an health care organization with primary practice located at Main Street Bldg. 25 , Tuba City AZ 86045-1350. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Tuba City Outpatient Treatment Center can be contacted via phone (928) 283-3346, or through Dickson, Janell via phone (928) 657-8000.
Contact Information
Primary practice address
Main Street Bldg. 25
Tuba City AZ 86045-1350
Phone: (928) 283-3346
Fax: (928) 283-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1558483677 |
|---|---|
| LBN Legal business name | Tuba City Outpatient Treatment Center |
| DBA Doing business as | |
| Authorized official | Dickson, Janell M.A., M.ED., LPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Mar 10th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558483677 | NPPES |
| Arizona | MEDICAID | 329492 |
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