Organization · Type 2 NPI

Nome Community Center, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Nome, AK

NPI number 1962625939 Active

Practice location

505 West 3rd Avenue
Nome, AK 99762

Fax (907) 443-2990

Mailing address

P.o. Box 98
Nome, AK 99762-0098

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center 261QA0600XHC9475 (AK)
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X60313008 (AK)
Home Delivered Meals 332U00000XHC9475 (AK)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1962625939

Nome Community Center, Inc.'s National Provider Identifier is 1962625939, issued on Apr 10, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Nome, AK. The record was last updated on Jan 12, 2015.