Organization · Type 2 NPI

Mat - Su Health Services Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Wasilla, AK

NPI number 1184725210 Active

Practice location

1363 W Spruce Ave
Wasilla, AK 99654-5327

Fax (907) 352-3363

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) 261QF0400XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1184725210

Mat - Su Health Services Inc.'s National Provider Identifier is 1184725210, issued on Sep 25, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Wasilla, AK. The record was last updated on Jun 10, 2010.