Kayenta Outpatient Treatment Center

LBN: Kayenta Outpatient Treatment Center
Kayenta Outpatient Treatment Center is an health care organization with primary practice located at Hwy 394.3 Us-160 , Kayenta AZ 86033-0487. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Managed Care Organizations / Point of Service. Agencies / Community/Behavioral Health is the primary health care specialty. Kayenta Outpatient Treatment Center can be contacted via phone (928) 697-5570, or through Blatchford, Miranda via phone (928) 697-5570.

Contact Information

Primary practice address
Hwy 394.3 Us-160 Kayenta AZ 86033-0487
Phone: (928) 697-5570
Fax: (928) 697-5574
Website:
Map and Directions
Authorized official contact:
Name: Blatchford, Miranda Licensed Clinical Social Worker (LCSW)
Phone: (928) 697-5570

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1811109762
LBN Legal business name Kayenta Outpatient Treatment Center
DBA Doing business as Kayenta Outpatient Treatment Center
Authorized official Blatchford, Miranda Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Mar 10th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811109762 NPPES
Arizona MEDICAID 329559

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