CHINLE ADULT RESIDENTIAL TREATMENT – NPI #1427656065
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

CHINLE ADULT RESIDENTIAL TREATMENT is a substance abuse rehabilitation facility located in CHINLE, AZ. NPPES has assigned the NPI number 1427656065 to CHINLE ADULT RESIDENTIAL TREATMENT on October 15, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Mar 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHINLE ADULT RESIDENTIAL TREATMENT below.

NPI Profile for
CHINLE ADULT RESIDENTIAL TREATMENT

NPI Number
1427656065
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHINLE ADULT RESIDENTIAL TREATMENT
Primary location
NAVAJO ROUTE 7, DUPLEX UNIT 2004
CHINLE, AZ 86503
Phone: (928) 674-2190 Fax: (928) 674-2196
Mailing address
PO BOX 777
CHINLE, AZ 86503-0777
Phone: (928) 674-2190 Fax: (928) 674-2191
Organization Subpart
No
Authorized Official
MIRANDA BLATCHFORD
BEHAVIORAL HEALTH DIRECTOR
Phone: (928) 674-2190
Updated
Certification Date
Mar 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.