Provider Demographics
NPI:1598994584
Name:NAVAJO NATION OFFICE OF SPECIAL EDUCATION & REHABILITATION
Entity Type:Organization
Organization Name:NAVAJO NATION OFFICE OF SPECIAL EDUCATION & REHABILITATION
Other - Org Name:GROWING IN BEAUTY EARLY CHILDHOOD INTERVENTION PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TREVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROANHORSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-871-6338
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:WINDOW ROCK
Mailing Address - State:AZ
Mailing Address - Zip Code:86515-1420
Mailing Address - Country:US
Mailing Address - Phone:928-871-6338
Mailing Address - Fax:982-871-7865
Practice Address - Street 1:MORGAN BOULEVARD DINE EDUCATION CENTER ROOM 205
Practice Address - Street 2:
Practice Address - City:WINDOW ROCK
Practice Address - State:AZ
Practice Address - Zip Code:86515-1420
Practice Address - Country:US
Practice Address - Phone:928-871-6338
Practice Address - Fax:982-871-7865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health