Organization · Type 2 NPI

Southcentral Foundation

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

NPI number 1215700554 Active

Practice location

3000 C St
Anchorage, AK 99503-3975

Call (907) 729-8558 Map

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

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

29 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Anchorage

See all in Anchorage →

NPI record

NPI: 1215700554
Entity type: Organization (Type 2)
Issued: Oct 30, 2023
Last updated: Oct 30, 2023
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

Intensive Home Based Treatment · doing business as

Authorized official

Jona Tetzloff
Manager of Revenue Cycle
(907) 729-5083

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1215700554

Southcentral Foundation's National Provider Identifier is 1215700554, issued on Oct 30, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Anchorage, AK. The record was last updated on Oct 30, 2023.