in Anchorage - Psychiatric Residential Treatment Facility

- NPI 1659483113

is a Psychiatric Residential Treatment Facility in Anchorage, Alaska. practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for is 1659483113. The last update date is .

's current location address is 3210 W 62nd Ave, Anchorage, Alaska. You can contact this provider via phone number 9072122040 and fax number 9072722169. The mailing address for is 3210 W 62nd Ave, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 3210 W 62nd Ave, Anchorage, Alaska
Phone Number 9072122040
Fax Number 9072722169
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1659483113
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 3210 W 62nd Ave
City Anchorage
State Alaska (AK)
Post Code 99502
Phone Number 9072122040
Fax Number 9072722169

Provider's Primary Taxonomy Detail

Speciality Psychiatric Residential Treatment Facility
Taxonomy 323P00000X
Licence No 400157
Definition:
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HS487PI AK --

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