Individual provider · Type 1 NPI

Magnolia Moananu

Mental Illness Community Based Residential Treatment Facility · Anchorage, AK

NPI number 1750154779 Active

Practice location

3722 Parsons Ave
Anchorage, AK 99508-1216

Call (907) 201-9857 Map

Specialties and licenses

TaxonomyCodeLicense
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 1750154779

Magnolia Moananu's National Provider Identifier is 1750154779, issued on Nov 1, 2023. 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 Nov 1, 2023.