Pinetop Behavioral Health LLC

NPI #1578294153 in Pinetop, Arizona

Provider Information

NPI Number: 1578294153
Entity Type: Organization
Organization Name: Pinetop Behavioral Health LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 23, 2022
Last Updated: Jun 23, 2022

Practice Location

Address: 674 E WHITE MOUNTAIN BLVD # 5
Address 2: BLVD 5
City: Pinetop
State: Arizona
ZIP Code: 85935
Phone: (207) 409-6515

Authorized Official

Name: AIMEE NYIRAKANYANA
Title: OWNER
Phone: (207) 409-6515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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