Provider Demographics
NPI:1952625352
Name:NATIVE AMERICANS FOR COMMUNITY ACTION, INC
Entity Type:Organization
Organization Name:NATIVE AMERICANS FOR COMMUNITY ACTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRANTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:928-526-2968
Mailing Address - Street 1:2717 N STEVES BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-3959
Mailing Address - Country:US
Mailing Address - Phone:928-526-2968
Mailing Address - Fax:928-526-0708
Practice Address - Street 1:2717 N STEVES BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-3959
Practice Address - Country:US
Practice Address - Phone:928-526-2968
Practice Address - Fax:928-526-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-3422251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health