Organization · Type 2 NPI
Southcentral Foundation
Mental Health Clinic/Center (Including Community Mental Health Center) · Sutton, AK
NPI number
1407466204
Active
Practice location
11495 N Callison St
Sutton, AK 99674
Fax (907) 729-8607
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1407466204
Southcentral Foundation's National Provider Identifier is 1407466204, issued on Aug 6, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Sutton, AK. The record was last updated on Aug 6, 2020.