Individual provider · Type 1 NPI
Trishia Manzo, CCM
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anchorage, AK
Practice location
330 Kayak Dr
Anchorage, AK 99515-3676
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Other practice locations
- 7033 E Tudor Rd, Anchorage, AK 99507-1262 · (907) 729-6799
- 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 · (907) 279-9640
- 3000 C St, Anchorage, AK 99503-3975 · (907) 729-8558
- 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 · (907) 694-3336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Counselor | 101Y00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Anchorage
- Jason TyrellIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Anchorage, AK NPI 1275317133
- Gary JonesIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Anchorage, AK NPI 1295282952
- Shellie Irene HickokIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Anchorage, AK NPI 1639412950
About NPI 1891226833
Trishia Manzo, CCM's National Provider Identifier is 1891226833, issued on Mar 22, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Anchorage, AK. The record was last updated on Oct 1, 2026.