Organization
KAYENTA OUTPATIENT TREATMENT CENTER
Active
Organization
KAYENTA OUTPATIENT TREATMENT CENTER
Active
Other names
Kayenta 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
ADOT RD & AZ ROUTE 163, KAYENTA, AZ 86033-0487
(928) 697-3766
(928) 697-5574
Mailing address
PO BOX 487, KAYENTA, AZ 86033-0487
(928) 697-5570
(928) 697-5574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329559
—
AZ
Enumeration date
05/04/2007
Last updated
08/04/2026
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