Organization · Type 2 NPI

Providence Health & Services - Washington

Mental Illness Community Based Residential Treatment Facility · Anchorage, AK

NPI number 1407945389 Active

Practice location

3760 Piper St, Suite Ll 139
Anchorage, AK 99508-4665

Call (907) 563-5006 Map

Fax (907) 563-3217

Mailing address

PO Box 31001 - 4166
Pasadena, CA 91110-4166

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XNone listed
Addiction Psychiatry Physician 2084P0802XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNOT NUMBERED (AK)
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X512146 (AK)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1407945389

Providence Health & Services - Washington's National Provider Identifier is 1407945389, issued on Oct 11, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Anchorage, AK. The record was last updated on Sep 30, 2026.