Organization
NAVAJO NATION CROWNPOINT OUTPATIENT TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA JOHN LPCC (BEHAVIORAL HEALTH DIRECTOR)
(505) 786-2128
Entity
Organization
Contact information
Practice address
SW HIGHLAND DR, CROWNPOINT, NM 87313
(505) 786-2128
(505) 786-2020
Mailing address
PO BOX 1144, CROWNPOINT, NM 87313-1144
(505) 786-2128
(505) 786-2020
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
05
—
32279752
—
NM
Enumeration date
07/05/2007
Last updated
03/10/2022
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