Provider Demographics
NPI:1558661496
Name:NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER
Entity Type:Organization
Organization Name:NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:505-368-1437
Mailing Address - Street 1:PO BOX 1830
Mailing Address - Street 2:HWY 491 PINON STREET
Mailing Address - City:SHIPROCK
Mailing Address - State:NM
Mailing Address - Zip Code:87420-1830
Mailing Address - Country:US
Mailing Address - Phone:505-368-1437
Mailing Address - Fax:
Practice Address - Street 1:HWY 491 PINON STREET
Practice Address - Street 2:
Practice Address - City:SHIPROCK,
Practice Address - State:NM
Practice Address - Zip Code:87420
Practice Address - Country:US
Practice Address - Phone:505-368-1437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVAJO NATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management