Organization Name: | HOPI HEALTH CARE CENTER |
NPI Number: | 1891130522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA ANN WILSON (CLINICAL SOCIAL WORKER) |
Mailing Address: | Highway 264 Milepost 388 Polacca |
State: | AZ US |
Postal Code: | 860424000 |
Phone Number: | 9287376000 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2013 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0698081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |