Organization
NA'NIZHOOZHI CENTER, INC
Active
Parent organization
NA'NIZHOOZHI CENTER, INC.
Other names
1Winslow
Organization subpart
Yes
Provider details
NPI number
Legal business name
NA'NIZHOOZHI CENTER, INC.
Authorized official
MR. LOREN SEKAYUMPTEWA MSW (EXECUTIVE DIRECTOR)
(505) 722-2177
Entity
Organization
Contact information
Practice address
105 COTTONWOOD AVE, WINSLOW, AZ 86047
(505) 722-2177
(505) 722-9254
Mailing address
2205 BOYD AVE, GALLUP, NM 87301-7404
(505) 722-9066
(505) 722-9254
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831243732
—
NM
Enumeration date
03/20/2008
Last updated
03/20/2008
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