Organization Name: | TOHONO O'ODHAM NATION - DIVISION OF BEHAVIORAL HEALTH |
NPI Number: | 1417153685 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NED NORRIS (CHAIRMAN) |
Mailing Address: | Highway 86 - Sells Business Loop Highway 86 - Sells Business Loop Sells |
State: | AZ US |
Postal Code: | 856340810 |
Phone Number: | 5203836165 |
Fax Number: | 5203835433 |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |