Organization · Type 2 NPI

Southcentral Foundation

Mental Illness Community Based Residential Treatment Facility · Anchorage, AK

NPI number 1710149661 Active

Practice location

3550 Cottonwood St
Anchorage, AK 99508-4352

Mailing address

4501 Diplomacy Dr, Attn: Provider Enrollment
Anchorage, AK 99508-5919

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1710149661

Southcentral Foundation's National Provider Identifier is 1710149661, issued on Jul 1, 2008. 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 Oct 15, 2024.