Organization · Type 2 NPI

Southcentral Foundation

Community/Behavioral Health Agency · Nondalton, AK

NPI number 1639772882 Active

Practice location

69 Main Street
Nondalton, AK 99640

Call (907) 294-2238 Map

Mailing address

PO Box 35198
Seattle, WA 98124-5198

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

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…

4 other providers at this address

NPI record

NPI: 1639772882
Entity type: Organization (Type 2)
Issued: Nov 19, 2020
Last updated: Sep 14, 2023
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

<unavail>
BH 1115- Nondalton · doing business as

Authorized official

Ronald Lee Olson
Executive Vice President Finance
(907) 729-4939

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About NPI 1639772882

Southcentral Foundation's National Provider Identifier is 1639772882, issued on Nov 19, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Nondalton, AK. The record was last updated on Sep 14, 2023.