Provider Demographics
NPI:1407450018
Name:NATIVE AMERICAN CONNECTIONS
Entity Type:Organization
Organization Name:NATIVE AMERICAN CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR OF INTEGRATED HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BESTIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-424-2060
Mailing Address - Street 1:3216 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2682
Mailing Address - Country:US
Mailing Address - Phone:602-254-3247
Mailing Address - Fax:602-256-7356
Practice Address - Street 1:1431 E DUNLAP AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-3026
Practice Address - Country:US
Practice Address - Phone:602-612-3617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIVE AMERICAN CONNECTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-24
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility