Organization
CHINLE OUTPATIENT TREATMENT CENTER
Active
Organization
CHINLE OUTPATIENT TREATMENT CENTER
Active
Other names
Outpatient Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL DICKSON LPC (BEHAVIORAL HEALTH DIRECTOR)
(928) 657-8000
Entity
Organization
Contact information
Practice address
NAVAJO ROUTE 7, DUPLEX UNIT 2004, CHINLE, AZ 86503-0777
(928) 674-2190
(928) 674-2196
Mailing address
PO BOX 777, CHINLE, AZ 86503-0777
(928) 674-2190
(928) 674-2196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329533
AHCCCS
AZ
Enumeration date
05/09/2007
Last updated
08/04/2026
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