Navajo Nation Crownpoint Outpatient Treatment Center
Organization Active NPI Community/Behavioral Health Agency · Crownpoint, NM
NPI 1831397488 · NPPES record last updated Mar 10, 2022
Key facts
- NPI
- 1831397488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NAVAJO NATION CROWNPOINT OUTPATIENT TREATMENT CENTER
- Practice address
- SW Highland Dr
Crownpoint, NM 87313 - Phone
- (505) 786-2128
- Fax
- (505) 786-2020
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Vera John, LPCC
- Title
- Behavioral Health Director
- Phone
- (505) 786-2128
Corporate family (same tax ID) 17
Practitioners 9
-
Tex W Anderson Jr., TRADITIONAL PRACTITI
-
Jennifer L. Becenti, LADAC
-
Kenneth A Joe, DINE' TRADITIONAL
-
Roxane Burch Jones, B.A. L.A.D.A.C
-
Beau Morgan, LADAC
-
Alexandra J. Murphy, BA,CASE MANAGER
-
Angelena P Perry, MSW
-
Roy Salcido, LADAC
-
Bobbie Lynn Tracy, LADAC
National Provider Directory
- Tax ID family
- Navajo Tribe ER Med SVC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
SW Highland Dr
Crownpoint, NM 87313
Mailing address
PO Box 1144
Crownpoint, NM 87313-1144
Phone (505) 786-2128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32279752 | Medicaid | NM |
Other providers in Crownpoint, NM
- Shawn McHenry
- Dakota McMurray
- Beau Morgan
- Alexandra J. Murphy
- Appolinaire Nari
- Sunday Oyedele Oyewo
- Michelle Lucy Perales
- Angelena P Perry
- Alexandra Podosek
- Pueblo Pintado Health Center
All providers in Crownpoint, NM · Community/Behavioral Health Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.