NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL – NPI #1073711693
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL is a substance abuse rehabilitation facility located in SHIPROCK, NM. NPPES has assigned the NPI number 1073711693 to NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL on July 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is NAVAJO NATION SHIPROCK TREATMENT CENTER ADOLESCENT UNIT. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

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 NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL below.

NPI Profile for
NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL

NPI Number
1073711693
Enumeration Date

(about 19 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
NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL
Former Legal Business Name: NAVAJO NATION SHIPROCK TREATMENT CENTER ADOLESCENT UNIT
Primary location
PINON & COTTONWOOD DR BUILDING #2301
SHIPROCK, NM 87402
Phone: (505) 368-1438 Fax: (505) 368-1452
Mailing address
PO BOX 1830
SHIPROCK, NM 87420-1830
Phone: (505) 368-1050 Fax: (505) 368-1467
Organization Subpart
No
Authorized Official
SIDNEY BROWN
BEHAVIORAL HEALTH DIRECTOR
Phone: (505) 368-1438
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (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.