| Organization Name: | NAVAJO NATION DEPARTMENT OF BEHAVIORAL HEALTH SERVICES |
| NPI Number: | 1275718462 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANETTE VICE (PROGRAM SUPERVISOR) |
| Mailing Address: | 30 Mi Nw Of Cuba Nm Cuba |
| State: | NM US |
| Postal Code: | 87013 |
| Phone Number: | 5057311505 |
| Fax Number: | 5057311502 |
| NPI Enumeration Date: | 01/07/2008 |
| NPI Last Update Date: | 01/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |