Organization · Type 2 NPI

Sequel Tsi of Az, LLC

Adult Mental Health Clinic/Center · Tuba City, AZ

NPI number 1790015428 Active

Practice location

75 S. Main St., Suite B, Kentucky Fried Chicken Comples
Tuba City, AZ 86045

Fax (928) 283-6848

Mailing address

PO Box 2257
Tuba City, AZ 86045-2257

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1790015428

Sequel Tsi of Az, LLC's National Provider Identifier is 1790015428, issued on Dec 31, 2009. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Tuba City, AZ. The record was last updated on Dec 31, 2009.