SEQUEL TSI OF AZ LLC NPI 1609106335

NPI Information

SEQUEL TSI OF AZ, LLC is an adult mental health clinic center in St. Michaels, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SEQUEL TSI OF AZ, LLC NPI is 1609106335. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions St. Michaels.

The provider's business location address is:

NAVAJO RESERVATION
ST. MICHAELS, AZ
ZIP 86511
Phone: (928) 810-3707
Fax: (928) 810-3713

The provider's authorized official is Chris Banken .
The authorized official title is Executive Director and has the following contact phone number (602) 335-2095.

The enumeration date for this NPI number is 12/31/2009 and was last updated on 12/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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