Organization · Type 2 NPI
Southcentral Foundation
Mental Health Clinic/Center (Including Community Mental Health Center) · Port Alsworth, AK
NPI number
1639537640
Active
Practice location
1 Flight Line Road
Port Alsworth, AK 99653
Mailing address
4501 Diplomacy Dr
Anchorage, AK 99508-5919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 20467 (AK) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1639537640
Southcentral Foundation's National Provider Identifier is 1639537640, issued on Feb 4, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Port Alsworth, AK. The record was last updated on Mar 15, 2016.