Individual provider · Type 1 NPI
Tina McCluskey
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Talkeetna, AK
Practice location
19205 E Future Rd
Talkeetna, AK 99676
Mailing address
PO Box 735
Willow, AK 99688-0735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1124544523
Tina McCluskey's National Provider Identifier is 1124544523, issued on Aug 17, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Talkeetna, AK. The record was last updated on Aug 17, 2017.