Organization · Type 2 NPI

Southcentral Foundation

Mental Health Clinic/Center (Including Community Mental Health Center) · Anchorage, AK

NPI number 1790144822 Active

Practice location

4501 Diplomacy Dr
Anchorage, AK 99508-5919

Mailing address

4030 Salmon Way
Igiugig, AK 99613

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X20467 (AK)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1790144822

Southcentral Foundation's National Provider Identifier is 1790144822, issued on Feb 17, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Anchorage, AK. The record was last updated on Feb 17, 2016.