Organization · Type 2 NPI

Providence Health & Services Washington

Community/Behavioral Health Agency · Kodiak, AK

NPI number 1477563344 Active

Practice location

1818 E Rezanof Dr
Kodiak, AK 99615-6505

Call (907) 481-2400 Map

Fax (907) 481-2419

Mailing address

PO Box 31001-4162
Pasadena, CA 91110-4162

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X297340 (AK)
Clinical Social Worker 1041C0700X297340 (AK)
Case Manager/Care Coordinator 171M00000X297340 (AK)
Psychiatry Physician 2084P0800X297340 (AK)
Community/Behavioral Health Agency Primary 251S00000X297340 (AK)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

20 other providers at this address

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About NPI 1477563344

Providence Health & Services Washington's National Provider Identifier is 1477563344, issued on Aug 9, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Kodiak, AK. The record was last updated on Jun 30, 2026.